After a typhoon in September 2009, an outbreak of leptospirosis occurred in Metro Manila, the Philippines; 471 patients were hospitalized and 51 (10.8%) died. A hospital-based investigation found risk factors associated with fatal infection to be older age, hemoptysis, anuria, jaundice, and delayed treatment with antimicrobial drugs.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3310081 | PMC |
| http://dx.doi.org/10.3201/eid1801.101892 | DOI Listing |
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