Emerging Infectious Disease ISSN: 1080-6059

Leptospirosis Diagnostic Challenges, American Samoa

Colleen L. Lau

and John M. DePasquale

Author affiliations: Author affiliations: The University of Queensland, Herston, Queensland, Australia (C.L. Lau); Lyndon Baines Johnson Tropical Medical Center, Pago Pago, American Samoa (J.M. DePasquale)

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Figure

Clinical course of temperature and selected laboratory results in a patient with severe leptospirosis in American Samoa. A) Temperature and leukocyte (WBC) counts (reference range 5.0–9.1 × 109 cells/L). B) Hemoglobin (reference range 14.0–16.3 g/dL) and platelet counts (reference range 150–450 × 109 platelets/L). C) Blood urea nitrogen (BUN) (reference range 5–18 mg/dL) and creatinine (reference range 0.5–1.0 mg/dL) levels. D) Total bilirubin (reference range 0.3–1.2 mg/dL), direct bilirubin (r

Figure. Clinical course of temperature and selected laboratory results in a patient with severe leptospirosis in American Samoa. A) Temperature and leukocyte (WBC) counts (reference range 5.0–9.1 × 10⁹ cells/L). B) Hemoglobin (reference range 14.0–16.3 g/dL) and platelet counts (reference range 150–450 × 10⁹ platelets/L). C) Blood urea nitrogen (BUN) (reference range 5–18 mg/dL) and creatinine (reference range 0.5–1.0 mg/dL) levels. D) Total bilirubin (reference range 0.3–1.2 mg/dL), direct bilirubin (reference range 0–0.2 mg/dL), and aspartate aminotransferase (AST) (reference range 15–45 U/L) levels.

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