Tags

Type your tag names separated by a space and hit enter

Incidence of rickettsial infection in patients with acute fever in provincial Thai army hospitals.
J Med Assoc Thai. 2009 Feb; 92 Suppl 1:S39-46.JM

Abstract

Scrub typhus is common among patients with acute fever in rural areas of Thailand. The authors prospectively recruited patients with acute fever from provincial Thai army hospitals. Dot-ELISA test for scrub typhus was done in hospitals and then compared with standard immunofluorescent assay for diagnosis of scrub typhus. Among 178 patients, scrub typhus was diagnosed by immunofluorescent assay in 10 patients (5.61%). The incidence was high in the northeastern and northern regions. Dot-ELISA gave positive results in 4 of 115 patients, while immunofluorescent assay gave positive results in 6 patients (sensitivity = 66.7%). No false positive results of Dot-ELISA were found among 109 patients (specificity = 100%). All patients gave negative results for murine typhus and Thai tick typhus using immunofluorescent assay. Regarding this present study, Dot-ELISA for scrub typhus has a good sensitivity and specificity and can be used in rural hospitals. This test could be useful for diagnosis of scrub typhus in hospitals where immunofluorescent assay is not available.

Authors+Show Affiliations

Department of Medicine, Phramongkutklao Hospital, Bangkok, Thailand.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

21302413

Citation

Thitivichianlert, Sataporn, et al. "Incidence of Rickettsial Infection in Patients With Acute Fever in Provincial Thai Army Hospitals." Journal of the Medical Association of Thailand = Chotmaihet Thangphaet, vol. 92 Suppl 1, 2009, pp. S39-46.
Thitivichianlert S, Panichkul S, Bodhidatta D, et al. Incidence of rickettsial infection in patients with acute fever in provincial Thai army hospitals. J Med Assoc Thai. 2009;92 Suppl 1:S39-46.
Thitivichianlert, S., Panichkul, S., Bodhidatta, D., Rodkvamtook, W., Sukwit, S., Boonmee, P., & Ketupanya, A. (2009). Incidence of rickettsial infection in patients with acute fever in provincial Thai army hospitals. Journal of the Medical Association of Thailand = Chotmaihet Thangphaet, 92 Suppl 1, S39-46.
Thitivichianlert S, et al. Incidence of Rickettsial Infection in Patients With Acute Fever in Provincial Thai Army Hospitals. J Med Assoc Thai. 2009;92 Suppl 1:S39-46. PubMed PMID: 21302413.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Incidence of rickettsial infection in patients with acute fever in provincial Thai army hospitals. AU - Thitivichianlert,Sataporn, AU - Panichkul,Suthee, AU - Bodhidatta,Dharadhida, AU - Rodkvamtook,Wuttikon, AU - Sukwit,Suchitra, AU - Boonmee,Piyabutara, AU - Ketupanya,Aphornpirom, PY - 2011/2/9/entrez PY - 2009/2/1/pubmed PY - 2011/2/18/medline SP - S39 EP - 46 JF - Journal of the Medical Association of Thailand = Chotmaihet thangphaet JO - J Med Assoc Thai VL - 92 Suppl 1 N2 - Scrub typhus is common among patients with acute fever in rural areas of Thailand. The authors prospectively recruited patients with acute fever from provincial Thai army hospitals. Dot-ELISA test for scrub typhus was done in hospitals and then compared with standard immunofluorescent assay for diagnosis of scrub typhus. Among 178 patients, scrub typhus was diagnosed by immunofluorescent assay in 10 patients (5.61%). The incidence was high in the northeastern and northern regions. Dot-ELISA gave positive results in 4 of 115 patients, while immunofluorescent assay gave positive results in 6 patients (sensitivity = 66.7%). No false positive results of Dot-ELISA were found among 109 patients (specificity = 100%). All patients gave negative results for murine typhus and Thai tick typhus using immunofluorescent assay. Regarding this present study, Dot-ELISA for scrub typhus has a good sensitivity and specificity and can be used in rural hospitals. This test could be useful for diagnosis of scrub typhus in hospitals where immunofluorescent assay is not available. SN - 0125-2208 UR - https://www.unboundmedicine.com/medline/citation/21302413/Incidence_of_rickettsial_infection_in_patients_with_acute_fever_in_provincial_Thai_army_hospitals_ L2 - https://medlineplus.gov/fever.html DB - PRIME DP - Unbound Medicine ER -