Citation
Lai, Chung-Hsu, et al. "The Difference in Clinical Characteristics Between Acute Q Fever and Scrub Typhus in Southern Taiwan." International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases, vol. 13, no. 3, 2009, pp. 387-93.
Lai CH, Huang CK, Weng HC, et al. The difference in clinical characteristics between acute Q fever and scrub typhus in southern Taiwan. Int J Infect Dis. 2009;13(3):387-93.
Lai, C. H., Huang, C. K., Weng, H. C., Chung, H. C., Liang, S. H., Lin, J. N., Lin, C. W., Hsu, C. Y., & Lin, H. H. (2009). The difference in clinical characteristics between acute Q fever and scrub typhus in southern Taiwan. International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases, 13(3), 387-93. https://doi.org/10.1016/j.ijid.2008.07.020
Lai CH, et al. The Difference in Clinical Characteristics Between Acute Q Fever and Scrub Typhus in Southern Taiwan. Int J Infect Dis. 2009;13(3):387-93. PubMed PMID: 18977677.
TY - JOUR
T1 - The difference in clinical characteristics between acute Q fever and scrub typhus in southern Taiwan.
AU - Lai,Chung-Hsu,
AU - Huang,Chun-Kai,
AU - Weng,Hui-Ching,
AU - Chung,Hsing-Chun,
AU - Liang,Shiou-Haur,
AU - Lin,Jiun-Nong,
AU - Lin,Chih-Wen,
AU - Hsu,Chuan-Yuan,
AU - Lin,Hsi-Hsun,
Y1 - 2008/11/01/
PY - 2008/04/14/received
PY - 2008/07/17/revised
PY - 2008/07/29/accepted
PY - 2008/11/4/pubmed
PY - 2009/7/18/medline
PY - 2008/11/4/entrez
SP - 387
EP - 93
JF - International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
JO - Int J Infect Dis
VL - 13
IS - 3
N2 - OBJECTIVE: To identify the differences in clinical characteristics between acute Q fever and scrub typhus in southern Taiwan. METHODS: A prospective observational study was conducted in which serological tests for acute Q fever and scrub typhus were performed simultaneously regardless of which disease was suspected clinically. From April 2004 to December 2007, 80 and 40 cases of serologically confirmed acute Q fever and scrub typhus, respectively, were identified and included in the study for comparison. RESULTS: By univariate analysis, being male (p<0.001) and having an alanine aminotransferase (ALT) >88U/l (p=0.015) were more common in acute Q fever, whereas residence or travel in a mountainous region or offshore island of Taiwan (p<0.001), skin rash (p<0.001), eschar (p<0.001), lymphadenopathy (p=0.04), leukocytosis (p=0.002), and pulmonary involvement on chest X-ray (p=0.003) were more common in scrub typhus. In the multivariate analysis, being male (odds ratio (OR) 10.883, 95% confidence interval (CI) 2.079-56.441, p=0.005) was an independent characteristic of acute Q fever, while residence or travel in a mountainous region or offshore island (OR 0.073, 95% CI 0.019-0.275, p<0.001) and skin rash (OR 0.152, 95% CI 0.024-0.945, p=0.043) were independent characteristics of scrub typhus. The response to doxycycline treatment was not different. CONCLUSIONS: In southern Taiwan, sex, area of residence, travel history, and physical examination are important in the differentiation of acute Q fever from scrub typhus.
SN - 1878-3511
UR - https://www.unboundmedicine.com/medline/citation/18977677/The_difference_in_clinical_characteristics_between_acute_Q_fever_and_scrub_typhus_in_southern_Taiwan_
L2 - https://linkinghub.elsevier.com/retrieve/pii/S1201-9712(08)01497-5
DB - PRIME
DP - Unbound Medicine
ER -