Sanguinetti takes Delray title

Davide Sanguinetti won his first title in February

D Sanguinetti def A Roddick 6-4, 4-6, 6-4

Italy's Davide Sanguinetti upset top-seed Andy Roddick to claim his second career title at the International Tennis Championships at Delray Beach on Sunday.

The number five seed beat the ailing American 6-4, 4-6, 6-4 to add to his first tournament victory in Milan last month.

But Roddick was visibly unwell during the match, and his coach Tarik Benhabiles later said he was playing with a chest infection and a fever.

Roddick appeared to vomit at least twice, including once at his chair shortly after Sanguinetti closed out the victory with an ace.

It was the American's first defeat in five career finals, and he looked lethargic for much of the match, bending over after long points and often hanging his head.

"C'mon, Andy, pick it up a notch!" a fan exhorted midway through the second set.

Roddick responded by raising his thumb and briefly showed signs of life, breaking Sanguinetti for the only time in the final game of the set to level the match.

But the American double-faulted on break point to lose his serve for just the second time as he fell behind 3-2 in the final set.

During a changeover with Sanguinetti leading 4-3, Roddick became ill and briefly left the court with a towel over his mouth.

Sanguinetti held his nerve and his serve to serve out the set and claim the US$51,500 first prize.

Roddick's consolation was a cheque for US$30,300.