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Coinfection with leptospirosis and scrub typhus in Taiwanese patients.
Am J Trop Med Hyg. 2007 Sep; 77(3):525-7.AJ

Abstract

We retrospectively analyzed patients with leptospirosis (n = 35), scrub typhus (n = 45), and coinfection (leptospirosis and scrub typhus [n = 7]) to facilitate the detection of coinfection. Our data showed that factors favoring these disease entities included animal contact, an aspartate aminotransferase/alanine aminotransferase ratio > 2 (for leptospirosis); outdoor exposure, lymphadenopathy, splenomegaly, eschar, and elevated alkaline phosphatase levels (for scrub typhus and coinfection); calf tenderness, conjunctival suffusion, jaundice, oliguria, elevated total bilirubin levels and serum creatinine levels (for leptospirosis and coinfection); and maculopapular rash (for scrub typhus). Patients at risk for leptospirosis are often at increased risk for scrub typhus and vice versa. Lack of knowledge of coinfection may jeopardize the health of affected patients. Our study serves as a reminder of potential coinfection and provides clues for its detection.

Authors+Show Affiliations

Division of Infectious Diseases, Department of Internal Medicine, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University College of Medicine Kaohsiung, Taiwan, Republic of China.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17827372

Citation

Lee, Chen-Hsiang, and Jien-Wei Liu. "Coinfection With Leptospirosis and Scrub Typhus in Taiwanese Patients." The American Journal of Tropical Medicine and Hygiene, vol. 77, no. 3, 2007, pp. 525-7.
Lee CH, Liu JW. Coinfection with leptospirosis and scrub typhus in Taiwanese patients. Am J Trop Med Hyg. 2007;77(3):525-7.
Lee, C. H., & Liu, J. W. (2007). Coinfection with leptospirosis and scrub typhus in Taiwanese patients. The American Journal of Tropical Medicine and Hygiene, 77(3), 525-7.
Lee CH, Liu JW. Coinfection With Leptospirosis and Scrub Typhus in Taiwanese Patients. Am J Trop Med Hyg. 2007;77(3):525-7. PubMed PMID: 17827372.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Coinfection with leptospirosis and scrub typhus in Taiwanese patients. AU - Lee,Chen-Hsiang, AU - Liu,Jien-Wei, PY - 2007/9/11/pubmed PY - 2007/11/6/medline PY - 2007/9/11/entrez SP - 525 EP - 7 JF - The American journal of tropical medicine and hygiene JO - Am. J. Trop. Med. Hyg. VL - 77 IS - 3 N2 - We retrospectively analyzed patients with leptospirosis (n = 35), scrub typhus (n = 45), and coinfection (leptospirosis and scrub typhus [n = 7]) to facilitate the detection of coinfection. Our data showed that factors favoring these disease entities included animal contact, an aspartate aminotransferase/alanine aminotransferase ratio > 2 (for leptospirosis); outdoor exposure, lymphadenopathy, splenomegaly, eschar, and elevated alkaline phosphatase levels (for scrub typhus and coinfection); calf tenderness, conjunctival suffusion, jaundice, oliguria, elevated total bilirubin levels and serum creatinine levels (for leptospirosis and coinfection); and maculopapular rash (for scrub typhus). Patients at risk for leptospirosis are often at increased risk for scrub typhus and vice versa. Lack of knowledge of coinfection may jeopardize the health of affected patients. Our study serves as a reminder of potential coinfection and provides clues for its detection. SN - 0002-9637 UR - https://www.unboundmedicine.com/medline/citation/17827372/Coinfection_with_leptospirosis_and_scrub_typhus_in_Taiwanese_patients_ L2 - http://www.ajtmh.org/cgi/pmidlookup?view=long&pmid=17827372 DB - PRIME DP - Unbound Medicine ER -