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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Hoofdauteurs: Trung, NV, Hoi, LT, Dien, VM, Huong, DT, Hoa, TM, Lien, VN, Van Luan, P, Lewycka, SO, Choisy, M, Bryant, JE, Nadjm, B, van Doorn, H, Richards, AL, Van Kinh, N
Formaat: Journal article
Taal:English
Gepubliceerd in: Centers for Disease Control and Prevention 2019
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author Trung, NV
Hoi, LT
Dien, VM
Huong, DT
Hoa, TM
Lien, VN
Van Luan, P
Lewycka, SO
Choisy, M
Bryant, JE
Nadjm, B
van Doorn, H
Richards, AL
Van Kinh, N
author_facet Trung, NV
Hoi, LT
Dien, VM
Huong, DT
Hoa, TM
Lien, VN
Van Luan, P
Lewycka, SO
Choisy, M
Bryant, JE
Nadjm, B
van Doorn, H
Richards, AL
Van Kinh, N
author_sort Trung, NV
collection OXFORD
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 oxford-uuid:56978f12-090c-4ed2-b0ef-e824e7e6acf12022-03-26T16:51:12ZClinical Manifestations and Molecular Diagnosis of Scrub Typhus and Murine Typhus, Vietnam, 2015–2017Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:56978f12-090c-4ed2-b0ef-e824e7e6acf1EnglishSymplectic Elements at OxfordCenters for Disease Control and Prevention2019Trung, NVHoi, LTDien, VMHuong, DTHoa, TMLien, VNVan Luan, PLewycka, SOChoisy, MBryant, JENadjm, Bvan Doorn, HRichards, ALVan Kinh, NRickettsioses 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.
spellingShingle Trung, NV
Hoi, LT
Dien, VM
Huong, DT
Hoa, TM
Lien, VN
Van Luan, P
Lewycka, SO
Choisy, M
Bryant, JE
Nadjm, B
van Doorn, H
Richards, AL
Van Kinh, N
Clinical Manifestations and Molecular Diagnosis of Scrub Typhus and Murine Typhus, Vietnam, 2015–2017
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
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