Abstract:
BACKGROUND:In endemic areas, leptospirosis is more common and more severe in adults compared with children. Reasons to explain this discrepancy remain unclear and limited data focusing on adolescents are available. The objective of the study was to describe disease spectrum and outcome differences in children and adolescents admitted for leptospirosis in a large at-risk population. METHODS:Clinical and laboratory data were obtained on hospitalized cases in New Caledonia from 2006 to 2012. RESULTS:Data of 60 patients <18 years of age (25 children under 14 and 35 adolescents aged 14 to 17) with confirmed leptospirosis were analyzed. Compared with children, adolescents presented more often with classic features of Weil disease (p = 0.02), combining hepatic and renal involvement with or without pulmonary participation. Jarisch-Herxheimer reactions were observed more often among adolescents (p<0.01). The overall case fatality rate was low (1 adolescent versus 0 children). CONCLUSION:Severe leptospirosis in adolescents may be more likely to show adults' characteristics compared with children. Further studies are required to explore age-dependant host factors, including puberty-related physiological changes.
journal_name
PLoS Negl Trop Disjournal_title
PLoS neglected tropical diseasesauthors
Guerrier G,Hie P,Gourinat AC,Huguon E,Polfrit Y,Goarant C,D'Ortenzio E,Missotte Idoi
10.1371/journal.pntd.0002436subject
Has Abstractpub_date
2013-09-26 00:00:00pages
e2436issue
9eissn
1935-2727issn
1935-2735pii
PNTD-D-13-00697journal_volume
7pub_type
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journal_title:PLoS neglected tropical diseases
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