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Rickettsial Infections and Fever, Vientiane, Laos

Rickettsial diseases have not been described previously from Laos, but in a prospective study, acute rickettsial infection was identified as the cause of fever in 115 (27%) of 427 adults with negative blood cultures admitted to Mahosot Hospital in Vientiane, Laos. The organisms identified by serolog...

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Autores principales: Phongmany, Simaly, Rolain, Jean-Marc, Phetsouvanh, Rattanaphone, Blacksell, Stuart D., Soukkhaseum, Vimone, Rasachack, Bouachanh, Phiasakha, Khamphong, Soukkhaseum, Surn, Frichithavong, Khamthavi, Chu, Vang, Keolouangkhot, Valy, Martinez-Aussel, Bertrand, Chang, Ko, Darasavath, Chirapha, Rattanavong, Oudayvone, Sisouphone, Siho, Mayxay, Mayfong, Vidamaly, Sisouphane, Parola, Philippe, Thammavong, Chanpheng, Heuangvongsy, Mayboun, Syhavong, Bounkong, Raoult, Didier, White, Nicholas J., Newton, Paul N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Centers for Disease Control and Prevention 2006
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3373100/
https://www.ncbi.nlm.nih.gov/pubmed/16494751
http://dx.doi.org/10.3201/eid1202.050900
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author Phongmany, Simaly
Rolain, Jean-Marc
Phetsouvanh, Rattanaphone
Blacksell, Stuart D.
Soukkhaseum, Vimone
Rasachack, Bouachanh
Phiasakha, Khamphong
Soukkhaseum, Surn
Frichithavong, Khamthavi
Chu, Vang
Keolouangkhot, Valy
Martinez-Aussel, Bertrand
Chang, Ko
Darasavath, Chirapha
Rattanavong, Oudayvone
Sisouphone, Siho
Mayxay, Mayfong
Vidamaly, Sisouphane
Parola, Philippe
Thammavong, Chanpheng
Heuangvongsy, Mayboun
Syhavong, Bounkong
Raoult, Didier
White, Nicholas J.
Newton, Paul N.
author_facet Phongmany, Simaly
Rolain, Jean-Marc
Phetsouvanh, Rattanaphone
Blacksell, Stuart D.
Soukkhaseum, Vimone
Rasachack, Bouachanh
Phiasakha, Khamphong
Soukkhaseum, Surn
Frichithavong, Khamthavi
Chu, Vang
Keolouangkhot, Valy
Martinez-Aussel, Bertrand
Chang, Ko
Darasavath, Chirapha
Rattanavong, Oudayvone
Sisouphone, Siho
Mayxay, Mayfong
Vidamaly, Sisouphane
Parola, Philippe
Thammavong, Chanpheng
Heuangvongsy, Mayboun
Syhavong, Bounkong
Raoult, Didier
White, Nicholas J.
Newton, Paul N.
author_sort Phongmany, Simaly
collection PubMed
description Rickettsial diseases have not been described previously from Laos, but in a prospective study, acute rickettsial infection was identified as the cause of fever in 115 (27%) of 427 adults with negative blood cultures admitted to Mahosot Hospital in Vientiane, Laos. The organisms identified by serologic analysis were Orientia tsutsugamushi (14.8%), Rickettsia typhi (9.6%), and spotted fever group rickettsia (2.6% [8 R. helvetica, 1 R. felis, 1 R. conorii subsp. indica, and 1 Rickettsia "AT1"]). Patients with murine typhus had a lower frequency of peripheral lymphadenopathy than those with scrub typhus (3% vs. 46%, p<0.001). Rickettsioses are an underrecognized cause of undifferentiated febrile illnesses among adults in Laos. This finding has implications for the local empiric treatment of fever.
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spelling pubmed-33731002012-06-13 Rickettsial Infections and Fever, Vientiane, Laos Phongmany, Simaly Rolain, Jean-Marc Phetsouvanh, Rattanaphone Blacksell, Stuart D. Soukkhaseum, Vimone Rasachack, Bouachanh Phiasakha, Khamphong Soukkhaseum, Surn Frichithavong, Khamthavi Chu, Vang Keolouangkhot, Valy Martinez-Aussel, Bertrand Chang, Ko Darasavath, Chirapha Rattanavong, Oudayvone Sisouphone, Siho Mayxay, Mayfong Vidamaly, Sisouphane Parola, Philippe Thammavong, Chanpheng Heuangvongsy, Mayboun Syhavong, Bounkong Raoult, Didier White, Nicholas J. Newton, Paul N. Emerg Infect Dis Research Rickettsial diseases have not been described previously from Laos, but in a prospective study, acute rickettsial infection was identified as the cause of fever in 115 (27%) of 427 adults with negative blood cultures admitted to Mahosot Hospital in Vientiane, Laos. The organisms identified by serologic analysis were Orientia tsutsugamushi (14.8%), Rickettsia typhi (9.6%), and spotted fever group rickettsia (2.6% [8 R. helvetica, 1 R. felis, 1 R. conorii subsp. indica, and 1 Rickettsia "AT1"]). Patients with murine typhus had a lower frequency of peripheral lymphadenopathy than those with scrub typhus (3% vs. 46%, p<0.001). Rickettsioses are an underrecognized cause of undifferentiated febrile illnesses among adults in Laos. This finding has implications for the local empiric treatment of fever. Centers for Disease Control and Prevention 2006-02 /pmc/articles/PMC3373100/ /pubmed/16494751 http://dx.doi.org/10.3201/eid1202.050900 Text en https://creativecommons.org/licenses/by/4.0/This is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited.
spellingShingle Research
Phongmany, Simaly
Rolain, Jean-Marc
Phetsouvanh, Rattanaphone
Blacksell, Stuart D.
Soukkhaseum, Vimone
Rasachack, Bouachanh
Phiasakha, Khamphong
Soukkhaseum, Surn
Frichithavong, Khamthavi
Chu, Vang
Keolouangkhot, Valy
Martinez-Aussel, Bertrand
Chang, Ko
Darasavath, Chirapha
Rattanavong, Oudayvone
Sisouphone, Siho
Mayxay, Mayfong
Vidamaly, Sisouphane
Parola, Philippe
Thammavong, Chanpheng
Heuangvongsy, Mayboun
Syhavong, Bounkong
Raoult, Didier
White, Nicholas J.
Newton, Paul N.
Rickettsial Infections and Fever, Vientiane, Laos
title Rickettsial Infections and Fever, Vientiane, Laos
title_full Rickettsial Infections and Fever, Vientiane, Laos
title_fullStr Rickettsial Infections and Fever, Vientiane, Laos
title_full_unstemmed Rickettsial Infections and Fever, Vientiane, Laos
title_short Rickettsial Infections and Fever, Vientiane, Laos
title_sort rickettsial infections and fever, vientiane, laos
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3373100/
https://www.ncbi.nlm.nih.gov/pubmed/16494751
http://dx.doi.org/10.3201/eid1202.050900
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