Causes of Fever in Rural Southern Laos

The etiology of fever in rural Lao People's Democratic Republic (Laos) has remained obscure until recently owing to the lack of laboratory facilities. We conducted a study to determine the causes of fever among 229 patients without malaria in Savannakhet Province, southern Laos; 52% had evidenc...

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Detalles Bibliográficos
Autores principales: Mayxay, Mayfong, Sengvilaipaseuth, Onanong, Chanthongthip, Anisone, Dubot-Pérès, Audrey, Rolain, Jean-Marc, Parola, Philippe, Craig, Scott B., Tulsiani, Suhella, Burns, Mary-Anne, Khanthavong, Maniphone, Keola, Siamphay, Pongvongsa, Tiengkham, Raoult, Didier, Dittrich, Sabine, Newton, Paul N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The American Society of Tropical Medicine and Hygiene 2015
Materias:
Articles
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4559689/
https://www.ncbi.nlm.nih.gov/pubmed/26149859
http://dx.doi.org/10.4269/ajtmh.14-0772
Descripción
Sumario:The etiology of fever in rural Lao People's Democratic Republic (Laos) has remained obscure until recently owing to the lack of laboratory facilities. We conducted a study to determine the causes of fever among 229 patients without malaria in Savannakhet Province, southern Laos; 52% had evidence of at least one diagnosis (45% with single and 7% with apparent multiple infections). Among patients with only one diagnosis, dengue (30.1%) was the most common, followed by leptospirosis (7.0%), Japanese encephalitis virus infection (3.5%), scrub typhus (2.6%), spotted fever group infection (0.9%), unspecified flavivirus infection (0.9%), and murine typhus (0.4%). We discuss the empirical treatment of fever in relation to these findings.

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