Severe leptospirosis in non-tropical areas: a nationwide, multicentre, retrospective study in French ICUs.
Arnaud-Félix MiailheEmmanuelle MercierAdel MaamarJean-Claude LacheradeAurélie Le ThuautAurélie GaultierPierre AsfarLaurent ArgaudAntoine AusseurAdel Ben SalahVlad BotocKarim ChaouiJulien CharpentierChristophe CraccoNicolas De ProstMarie-Line EustacheAlexis FerréElena GauvinSuzanne GoursaudMaximilien GrallPhilippe GuiotMaud JonasFabien LambiotteMickael LandaisJérémie LemariéOlivier LesieurClaire LhommetPhilippe MichelYannick MonseauSébastien MoschiettoSaad NseirDavid OsmanJérome PillotGaël PitonNicholas SedillotMichel SirodotDidier TheveninLara ZafraniYoann ZerbibPascale BourhyJean-Baptiste LascarrouJean Reigniernull nullPublished in: Intensive care medicine (2019)
Severe leptospirosis was an uncommon reason for ICU admission in metropolitan France and carried a lower mortality rate than expected based on the high severity and organ-failure scores. The identification in our population of several clinical presentations may help clinicians establish an appropriate index of suspicion for severe leptospirosis.