ACUTE LEPTOSPIRA POMONA ARTHRITIS AND MYOCARDITIS
Authors: W D SUTLIFF, R SHEPARD, W B DUNHAM
Journal: Annals of Internal Medicine (1953)

Case Reports1 July 1953ACUTE LEPTOSPIRA POMONA ARTHRITIS AND MYOCARDITISW. D. SUTLIFF, M.D., ROBERTA SHEPARD, M.D., WOLCOTT B. DUNHAM, M.D.W. D. SUTLIFF, M.D.Search for more papers by this author, ROBERTA SHEPARD, M.D.Search for more papers by this author, WOLCOTT B. DUNHAM, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-39-1-134 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptA case is reported below of acute arthritis and myocarditis associated with specific serologic reactions of leptospirosis due to Leptospira pomona, which resembled rheumatic fever sufficiently closely to require specific diagnostic methods for differentiation. The case presented symptomatology not heretofore described in leptospirosis, and increased the number of clinical pictures that suggest the possibility of leptospiral etiology.The leptospiroses are a group of illnesses caused by spirochetes of a number of immunologically distinct strains.Leptospira icterohaemorrhagiae, the cause of Weil's disease, andLeptospira canicola, the cause of canicola fever, were comparatively well known in the United States before 1951. Evidence...Bibliography1. BeesonHawkeyCooper PBDDCF: Leptospiral iridocyclitis. Evidence of human infection with L. pomona in U. S., J. A. M. A. 145: 229 (Jan. 27) 1951. CrossrefMedlineGoogle Scholar2. Schaeffer M(a) : Leptospiral meningitis. Investigation of a water borne epidemic due to L. pomona , Abstract, J. Clin. Investigation 30: 670, 1951. (b) Coffey, J. H., Dravin, I., and Dine, Q. C.: Swineherd's disease (aseptic meningitis) due to L. pomona, J. A. M. A. 147: 949-950 (Nov. 3) 1951. (c) Krouse, T. B., and Sigel, M. M.: Leptospiral meningitis, report of case resembling swineherd's disease, due to L. pomona, in the U. S., Indust. Med. 21: 121-123 (Mar.) 1952. (d) Spink, W. W.: Human leptospirosis due to L. pomona, report of first case in Minnesota, Minnesota Med. 35: 525-528 (June) 1952. Google Scholar3. GochenourSmadelJacksonEvansYager WSJEEBLBRH: Leptospiral etiology of Fort Bragg fever, Pub. Health Rep. 67: 811-813 (Aug.) 1952. CrossrefMedlineGoogle Scholar4. SpainHoward RSGT: Leptospirosis due to Leptospira grippotyphosa , J. A. M. A. 150: 1010-1012 (Nov. 8) 1952. CrossrefMedlineGoogle Scholar5. Gsell O: Klinik der Leptospirosen, Ergebn. d. inn. Med. u. Kinderh. 1 (N.F.): 367-467, 1949. Google Scholar6. NielsenHertel OPE: Leptospirosis sejroe, Acta med. Scandinav. 120: 384-398, 1945. CrossrefGoogle Scholar7. Bertucci EA: Leptospirosis, Am. J. M. Sc. 209: 86, 1945. CrossrefGoogle Scholar8. Drägert E: Beiträge zur pathologischen Anatomie der weilschen Krankheit, Virchows Arch. f. path. Anat. 292: 542, 1934. CrossrefGoogle Scholar9. AshePratt-ThomasKumpe WFHRCW: Weil's disease, Medicine 20: 145-210, 1941. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication January 5, 1953.From the Infectious Disease Section of the Medical Service and the General Research Laboratory, Veterans Administration, Medical Teaching Group Hospital, Memphis, Tennessee. 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ROBINSON, M.D., F.A.C.P., JOSEPH J. BUNIM, M.D., F.A.C.P., WILLIAM S. CLARK, M.D., DARRELL C. CRAIN, M.D., F.A.C.P., EPHRAIM P. ENGLEMAN, M.D., F.A.C.P., DONALD C. GRAHAM, M.D., F.R.C.P. (C), MAX M. MONTGOMERY, M.D., F.A.C.P., BERNARD M. NORCROSS, M.D., F.A.C.P., CHARLES RAGAN, M.D., F.A.C.P., MARIAN W. ROPES, M.D., F.A.C.P., EDWARD F. ROSENBERG, M.D., F.A.C.P., CHARLEY J. SMYTH, M.D., F.A.C.P. 1 July 1953Volume 39, Issue 1Page: 134-140KeywordsArthritisEtiologyInfectious diseasesLeptospiraLeptospirosisMedical servicesMyocarditisResearch laboratoriesRheumatic feverSpirochetes ePublished: 1 December 2008 Issue Published: 1 July 1953 PDF downloadLoading ...