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Fatal Human Co-infection with Leptospira spp. and Dengue Virus, Puerto Rico, 2010
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  1. Enhanced Surveillance for Fatal Dengue-Like Acute Febrile Illness in Puerto Rico, 2010-2012
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    Tomashek, Kay M.; Rivera, Aidsa; Torres-Velasquez, Brenda; Hunsperger, Elizabeth A.; Munoz-Jordan, Jorge L.; Sharp, Tyler M.; Rivera, Irma; Sanabria, Dario; Blau, Dianna M.; Galloway, Renee; Torres, Jose; Rodriguez, Rosa; Serrano, Javier; Chávez, Carlos; Dávila, Francisco; Perez-Padilla, Janice; Ellis, Esther M.; Caballero, Gladys; Wright, Laura; Zaki, Sherif R.; Deseda, Carmen; Rodriguez, Edda; Margolis, Harold S.;
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    BackgroundDengue is a leading cause of morbidity throughout the tropics; however, accurate population-based estimates of mortality rates are not available.Methods/Principal FindingsWe established the Enhanced Fatal Acute Febrile Illness Surveillance ...
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  2. 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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    BackgroundLeptospirosis 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/Princi...
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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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  4. 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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  5. 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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    BackgroundThe 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 recognition a...
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