Clinical Manifestations and Molecular Diagnosis of Scrub Typhus and Murine Typhus, Vietnam, 2015–2017

Rickettsioses are endemic to Vietnam; however, only a limited number of clinical studies have been performed on these vectorborne bacteria. We conducted a prospective hospital-based study at 2 national referral hospitals in Hanoi to describe the clinical characteristics of scrub typhus and murine ty...

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Main Authors: Nguyen Vu Trung, Le Thi Hoi, Vu Minh Dien, Dang Thi Huong, Tran Mai Hoa, Vu Ngoc Lien, Phan Van Luan, Sonia Odette Lewycka, Marc Choisy, Juliet E. Bryant, Behzad Nadjm, H. Rogier van Doorn, Allen L. Richards, Nguyen Van Kinh
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2019-04-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/25/4/18-0691_article
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author Nguyen Vu Trung
Le Thi Hoi
Vu Minh Dien
Dang Thi Huong
Tran Mai Hoa
Vu Ngoc Lien
Phan Van Luan
Sonia Odette Lewycka
Marc Choisy
Juliet E. Bryant
Behzad Nadjm
H. Rogier van Doorn
Allen L. Richards
Nguyen Van Kinh
author_facet Nguyen Vu Trung
Le Thi Hoi
Vu Minh Dien
Dang Thi Huong
Tran Mai Hoa
Vu Ngoc Lien
Phan Van Luan
Sonia Odette Lewycka
Marc Choisy
Juliet E. Bryant
Behzad Nadjm
H. Rogier van Doorn
Allen L. Richards
Nguyen Van Kinh
author_sort Nguyen Vu Trung
collection DOAJ
description Rickettsioses are endemic to Vietnam; however, only a limited number of clinical studies have been performed on these vectorborne bacteria. We conducted a prospective hospital-based study at 2 national referral hospitals in Hanoi to describe the clinical characteristics of scrub typhus and murine typhus in northern Vietnam and to assess the diagnostic applicability of quantitative real-time PCR assays to diagnose rickettsial diseases. We enrolled 302 patients with acute undifferentiated fever and clinically suspected rickettsiosis during March 2015–March 2017. We used a standardized case report form to collect clinical information and laboratory results at the time of admission and during treatment. We confirmed scrub typhus in 103 (34.1%) patients and murine typhus in 12 (3.3%) patients. These results highlight the need for increased emphasis on training for healthcare providers for earlier recognition, prevention, and treatment of rickettsial diseases in Vietnam.
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spelling doaj.art-3c69aa9de6c344c99b6dc37dad6a39e62022-12-22T01:56:13ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592019-04-0125463364110.3201/eid2504.180691Clinical Manifestations and Molecular Diagnosis of Scrub Typhus and Murine Typhus, Vietnam, 2015–2017Nguyen Vu TrungLe Thi HoiVu Minh DienDang Thi HuongTran Mai HoaVu Ngoc LienPhan Van LuanSonia Odette LewyckaMarc ChoisyJuliet E. BryantBehzad NadjmH. Rogier van DoornAllen L. RichardsNguyen Van KinhRickettsioses are endemic to Vietnam; however, only a limited number of clinical studies have been performed on these vectorborne bacteria. We conducted a prospective hospital-based study at 2 national referral hospitals in Hanoi to describe the clinical characteristics of scrub typhus and murine typhus in northern Vietnam and to assess the diagnostic applicability of quantitative real-time PCR assays to diagnose rickettsial diseases. We enrolled 302 patients with acute undifferentiated fever and clinically suspected rickettsiosis during March 2015–March 2017. We used a standardized case report form to collect clinical information and laboratory results at the time of admission and during treatment. We confirmed scrub typhus in 103 (34.1%) patients and murine typhus in 12 (3.3%) patients. These results highlight the need for increased emphasis on training for healthcare providers for earlier recognition, prevention, and treatment of rickettsial diseases in Vietnam.https://wwwnc.cdc.gov/eid/article/25/4/18-0691_articleScrub typhusmurine typhusrickettsial diseasesqPCRVietnambacteria
spellingShingle Nguyen Vu Trung
Le Thi Hoi
Vu Minh Dien
Dang Thi Huong
Tran Mai Hoa
Vu Ngoc Lien
Phan Van Luan
Sonia Odette Lewycka
Marc Choisy
Juliet E. Bryant
Behzad Nadjm
H. Rogier van Doorn
Allen L. Richards
Nguyen Van Kinh
Clinical Manifestations and Molecular Diagnosis of Scrub Typhus and Murine Typhus, Vietnam, 2015–2017
Emerging Infectious Diseases
Scrub typhus
murine typhus
rickettsial diseases
qPCR
Vietnam
bacteria
title Clinical Manifestations and Molecular Diagnosis of Scrub Typhus and Murine Typhus, Vietnam, 2015–2017
title_full Clinical Manifestations and Molecular Diagnosis of Scrub Typhus and Murine Typhus, Vietnam, 2015–2017
title_fullStr Clinical Manifestations and Molecular Diagnosis of Scrub Typhus and Murine Typhus, Vietnam, 2015–2017
title_full_unstemmed Clinical Manifestations and Molecular Diagnosis of Scrub Typhus and Murine Typhus, Vietnam, 2015–2017
title_short Clinical Manifestations and Molecular Diagnosis of Scrub Typhus and Murine Typhus, Vietnam, 2015–2017
title_sort clinical manifestations and molecular diagnosis of scrub typhus and murine typhus vietnam 2015 2017
topic Scrub typhus
murine typhus
rickettsial diseases
qPCR
Vietnam
bacteria
url https://wwwnc.cdc.gov/eid/article/25/4/18-0691_article
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