β-Lactam antibiotics trigger mouse TLR2/4- and human TLR2/5-dependent Jarisch-Herxheimer reaction in leptospirosis
Stylianos Papadopoulos, Thomas Bernard, Dorian Joffres, Frédérique Vernel-Pauillac, Julie Cagliero, COSIPOP study group, Catherine Werts
This study shows beta-lactam antibiotics induce a Jarisch-Herxheimer reaction in leptospirosis through TLR2/4 and TLR2/5-dependent mechanisms in mice and humans.
bioRxiv · Sep 10, 2026 · PreprintImmunology