TY - JOUR AU - Gouveia, Edilane L. AU - Metcalfe, John AU - de Carvalho, Ana Luiza F. AU - Aires, Talita S.F. AU - Villasboas-Bisneto, José Caetano AU - Queirroz, Adriano AU - Santos, Andréia C. AU - Salgado, Kátia AU - Reis, Mitermayer G. AU - Ko, Albert I. T1 - Leptospirosis-associated Severe Pulmonary Hemorrhagic Syndrome, Salvador, Brazil T2 - Emerging Infectious Disease journal PY - 2008 VL - 14 IS - 3 SP - 505 SN - 1080-6059 AB - We report the emergence of leptospirosis-associated severe pulmonary hemorrhagic syndrome (SPHS) in slum communities in Salvador, Brazil. Although active surveillance did not identify SPHS before 2003, 47 cases were identified from 2003 through 2005; the case-fatality rate was 74%. By 2005, SPHS caused 55% of the deaths due to leptospirosis. KW - Leptospirosis KW - Leptospira KW - pulmonary hemorrhage KW - urban epidemics KW - incidence KW - epidemiology KW - serovar Copenhageni KW - dispatch KW - Brazil DO - 10.3201/eid1403.071064 UR - https://wwwnc.cdc.gov/eid/article/14/3/07-1064_article ER - End of Reference