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Fatal Human Co-infection with Leptospira spp. and Dengue Virus, Puerto Rico, 2010
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  1. Early Indicators of Fatal Leptospirosis during the 2010 Epidemic in Puerto Rico
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    Sharp, Tyler M.; Rivera García, Brenda; Pérez-Padilla, Janice; Galloway, Renee L.; Guerra, Marta; Ryff, Kyle R.; Haberling, Dana; Ramakrishnan, Sharada; Shadomy, Sean; Blau, Dianna; Tomashek, Kay M.; Bower, William A.;
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    Background : Leptospirosis is a potentially fatal bacterial zoonosis that is endemic throughout the tropics and may be misdiagnosed as dengue. Delayed hospital admission of leptospirosis patients is associated with increased mortality. : Methodology/...
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  2. Leptospirosis Cases Infected with Uncommon Serogroups, Puerto Rico, 2013–2015
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    Gorbea, Hector; Garcia-Rivera, Enid J.; Torres, Hilda; Lorenzi, Olga D.; Rivera, Aidsa; Galloway, Renee L.; Sharp, Tyler M.;
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    Jan 01 2018
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    Am J Trop Med Hyg. 2018; 98(1):258-261.
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    Leptospirosis is an emerging bacterial zoonosis that is endemic but underrecognized throughout the tropics. Through prospective surveillance for acute febrile illness (AFI) among patients who presented to the emergency department of a hospital locate...
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    Damiani, Céline; Choukri, Firas; Le Gal, Solène; Menotti, Jean; Sarfati, Claudine; Nevez, Gilles; Derouin, Francis; Totet, Anne;
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    Emerg Infect Dis. 18(5):877-878.
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  4. Dengue Deaths in Puerto Rico: Lessons Learned from the 2007 Epidemic
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    Tomashek, Kay M.; Gregory, Christopher J.; Rivera Sánchez, Aidsa; Bartek, Matthew A.; Garcia Rivera, Enid J.; Hunsperger, Elizabeth; Muñoz-Jordán, Jorge L.; Sun, Wellington;
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    Apr 17 2012
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    PLoS Negl Trop Dis. 2012; 6(4).
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    Background : The incidence and severity of dengue in Latin America has increased substantially in recent decades and data from Puerto Rico suggests an increase in severe cases. Successful clinical management of severe dengue requires early recognitio...
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  5. Surveillance for Chikungunya and Dengue During the First Year of Chikungunya Virus Circulation in Puerto Rico
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    Sharp, Tyler M.; Ryff, Kyle R.; Alvarado, Luisa; Shieh, Wun-Ju; Zaki, Sherif R.; Margolis, Harold S.; Rivera-Garcia, Brenda;
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    J Infect Dis. 214(Suppl 5):S475-S481.
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    After chikungunya virus (CHIKV) transmission was detected in Puerto Rico in May 2014, multiple surveillance systems were used to describe epidemiologic trends and CHIKV-associated disease. Of 28 327 cases reported via passive surveillance, 6472 were ...
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