Publication: Rickettsial infections and fever, Vientiane, Laos
Issued Date
2006-01-01
Resource Type
ISSN
10806059
10806040
10806040
Other identifier(s)
2-s2.0-33644551558
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Emerging Infectious Diseases. Vol.12, No.2 (2006), 256-262
Suggested Citation
Simaly Phongmany, Jean Marc Rolain, Rattanaphone Phetsouvanh, Stuart D. Blacksell, Vimone Soukkhaseum, Bouachanh Rasachack, Khamphong Phiasakha, Surn Soukkhaseum, Khamthavi Frichithavong, Vang Chu, Valy Keolouangkhot, Bertrand Martinez-Aussel, Ko Chang, Chirapha Darasavath, Oudayvone Rattanavong, Siho Sisouphone, Mayfong Mayxay, Sisouphane Vidamaly, Philippe Parola, Chanpheng Thammavong, Mayboun Heuangvongsy, Bounkong Syhavong, Didier Raoult, Nicholas J. White, Paul N. Newton Rickettsial infections and fever, Vientiane, Laos. Emerging Infectious Diseases. Vol.12, No.2 (2006), 256-262. doi:10.3201/eid1202.050900 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/23872
Research Projects
Organizational Units
Authors
Journal Issue
Thesis
Title
Rickettsial infections and fever, Vientiane, Laos
Author(s)
Simaly Phongmany
Jean Marc Rolain
Rattanaphone Phetsouvanh
Stuart D. Blacksell
Vimone Soukkhaseum
Bouachanh Rasachack
Khamphong Phiasakha
Surn Soukkhaseum
Khamthavi Frichithavong
Vang Chu
Valy Keolouangkhot
Bertrand Martinez-Aussel
Ko Chang
Chirapha Darasavath
Oudayvone Rattanavong
Siho Sisouphone
Mayfong Mayxay
Sisouphane Vidamaly
Philippe Parola
Chanpheng Thammavong
Mayboun Heuangvongsy
Bounkong Syhavong
Didier Raoult
Nicholas J. White
Paul N. Newton
Jean Marc Rolain
Rattanaphone Phetsouvanh
Stuart D. Blacksell
Vimone Soukkhaseum
Bouachanh Rasachack
Khamphong Phiasakha
Surn Soukkhaseum
Khamthavi Frichithavong
Vang Chu
Valy Keolouangkhot
Bertrand Martinez-Aussel
Ko Chang
Chirapha Darasavath
Oudayvone Rattanavong
Siho Sisouphone
Mayfong Mayxay
Sisouphane Vidamaly
Philippe Parola
Chanpheng Thammavong
Mayboun Heuangvongsy
Bounkong Syhavong
Didier Raoult
Nicholas J. White
Paul N. Newton
Abstract
Rickettsial diseases have not been described previously from Laos, but in a prospective study, acute rickettsial infection was identified as the cause of fever in 115 (27%) of 427 adults with negative blood cultures admitted to Mahosot Hospital in Vientiane, Laos. The organisms identified by serologic analysis were Orientia tsutsugamushi (14.8%), Rickettsia typhi (9.6%), and spotted fever group rickettsia (2.6% [8 R. helvetica, 1 R. felis, 1 R. conorii subsp. indica, and 1 Rickettsia "AT1"]). Patients with murine typhus had a lower frequency of peripheral lymphadenopathy than those with scrub typhus (3% vs. 46%, p<0.001). Rickettsioses are an underrecognized cause of undifferentiated febrile illnesses among adults in Laos. This finding has implications for the local empiric treatment of fever.