Severe Leptospirosis Similar to Pandemic (H1N1) 2009, Florida and Missouri, USA
, Kristina W. Kintziger1
, Henry J. Carson1
, Sarah L. Patrick, George Turabelidze, Danielle R. Stanek, Carina Blackmore, Daniel Lingamfelter, Mary H. Dudley, Sean V. Shadomy, Wun-Ju Shieh, Clifton P. Drew, Brigid C. Batten, and Sherif R. Zaki
Author affiliations: Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA (Y.-C. Lo, S.V. Shadomy, W.-J. Shieh, C.P. Drew, B.C. Batten, S.R. Zaki); Missouri Department of Health and Senior Services, Jefferson City, Missouri, USA (Y.-C. Lo, S.L. Patrick, G. Turabelidze); Florida Department of Health, Tallahassee, Florida, USA (K.W. Kintziger, D. Stanek, C. Blackmore); Jackson County Medical Examiner’s Office, Kansas City, Missouri, USA (H.J. Carson, D. Lingamfelter, M.H. Dudley)
Figure. Photomicrographs of lung, liver, and kidney sections from patient 2 during study, Missouri and Florida, USA, 2009. Hematoxylin and eosin stain showed pulmonary hemorrhage (A) (original magnification ×10) and interstitial nephritis (B) (original magnification ×5), 2 characteristic pathologic findings of leptospirosis. Immunohistochemical testing showed scattered granular leptospiral antigens in liver (C) and kidney (D) (original magnification ×63).
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