Epidemiology of acute Q fever, scrub typhus, and murine typhus, and identification of their clinical characteristics compared to patients with acute febrile illness in southern Taiwan

Journal of the Formosan Medical Association

Volumn 108, Issue 5, 2009, Pages 367-376

  Lai, Chung Hsu ^a,b   Huang, Chun Kai ^a   Chen, Yen Hsu ^b,c   Chang, Lin Li ^b   Weng, Hui Ching ^d   Lin, Jiun Nong ^a,b   Chung, Hsing Chun ^a   Liang, Shiou Haur ^a   Lin, Hsi Hsun ^a,e  

^a E DA HOSPITAL   (Taiwan)

^b KAOHSIUNG MEDICAL UNIVERSITY   (Taiwan)

^c KAOHSIUNG MEDICAL UNIVERSITY HOSPITAL   (Taiwan)

^d I SHOU UNIVERSITY   (Taiwan)

^e NATIONAL YANG MING UNIVERSITY   (Taiwan)

Author keywords

Endemic flea borne typhus; Q fever; Rickettsia infections; Scrub typhus; Taiwan

Indexed keywords

ALANINE AMINOTRANSFERASE; ASPARTATE AMINOTRANSFERASE;

ABDOMINAL DISCOMFORT; ABDOMINAL PAIN; ACUTE DISEASE; ADULT; ALANINE AMINOTRANSFERASE BLOOD LEVEL; ARTHRALGIA; ARTICLE; ASPARTATE AMINOTRANSFERASE BLOOD LEVEL; BRADYCARDIA; CHILL; CLINICAL FEATURE; CONTROLLED STUDY; COUGHING; DIARRHEA; FEMALE; FEVER; GEOGRAPHIC DISTRIBUTION; HEADACHE; HEPATOMEGALY; HUMAN; JAUNDICE; LEUKOCYTOSIS; LYMPHADENOPATHY; MAJOR CLINICAL STUDY; MALE; MEDICAL DOCUMENTATION; MULTIVARIATE ANALYSIS; MURINE TYPHUS; MYALGIA; NAUSEA; Q FEVER; RASH; RETROSPECTIVE STUDY; SCLERA DISEASE; SCRUB TYPHUS; SERODIAGNOSIS; SORE THROAT; SPLENOMEGALY; TAIWAN; TYPHUS; VOMITING; WEAKNESS;

EID: 67649613331     PISSN: 09296646     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0929-6646(09)60080-2     Document Type: Article

References (38)

1. Raoult D, Roux V. Rickettsioses as paradigms of new or emerging infectious diseases. Clin Microbiol Rev 1997;10: 694-719. (Pubitemid 27477731)
2. Maurin M, Raoult D. Q fever. Clin Microbiol Rev 1999;12: 518-553
3. Seong SY, Choi MS, Kim IS. Orientia tsutsugamushi infection: overview and immune responses. Microbes Infect 2001;3:11-21. (Pubitemid 32172036)
4. Chen HL, Chen HY, Wu YC, et al. Q fever in Taiwan. Zhonghua Yi Xue Za Zhi (Taipei) 1994;54:1-6.
5. Chen HL, Shi LJ, Chen HY, et al. Occurrence of Q Fever among the past four years in Taiwan. Formosan J Med 1997;1:632-637 [In Chinese]
6. Lee HC, Ko WC, Lee HL, et al. Clinical manifestations and complications of rickettsiosis in southern Taiwan. J Formos Med Assoc 2002;101:385-392 (Pubitemid 34884837)
7. Chang K, Yan JJ, Lee HC, et al. Acute hepatitis with or without jaundice: a predominant presentation of acute Q fever in southern Taiwan. J Microbiol Immunol Infect 2004;37:103-108 (Pubitemid 38828594)
8. Lai CH, Huang CK, Chin C, et al. Acute Q fever: an emerging and endemic disease in southern Taiwan. Scand J Infect Dis 2008;40:105-110
9. Chen HL, Chen HY, Horng CB. Surveillance of scrub typhus in Taiwan. Zhonghua Min Guo Wei Sheng Wu Ji Mian Yi Xue Za Zhi 1993;26:166-170 [In Chinese]
10. Lee YS, Wang PH, Tseng SJ, et al. Epidemiology of scrub typhus in eastern Taiwan, 2000-2004. Jpn J Infect Dis 2006;59:235-238
11. Weng TC, Yen TS. Clinical observation on two weeks fever (murine typhus) in Taiwan. J Formos Med Assoc 1961;60: 594-602. [In Chinese]
12. Raoult D, Tissot-Dupont H, Foucault C, et al. Q fever 1985-1998. Clinical and epidemiologic features of 1,383 infections. Medicine (Baltimore) 2000;79:109-123
13. Sampere M, Font B, Font J, et al. Q fever in adults: review of 66 clinical cases. Eur J Clin Microbiol Infect Dis 2003;22: 108-110 (Pubitemid 36349973)
14. Alarcon A, Villanueva JL, Viciana P, et al. Q fever: epidemiology, clinical features and prognosis. A study from 1983 to 1999 in the South of Spain. J Infect 2003;47:110-116
15. Ogawa M, Hagiwara T, Kishimoto T, et al. Scrub typhus in Japan: epidemiology and clinical features of cases reported in 1998. Am J Trop Med Hyg 2002;67:162-165
16. Watt G, Parola P. Scrub typhus and tropical rickettsioses. Curr Opin Infect Dis 2003;16:429-436 (Pubitemid 37270602)
17. Dumler JS, Taylor JP, Walker DH. Clinical and laboratory features of murine typhus in south Texas, 1980 through 1987. JAMA 1991;266:1365-1370
18. Silpapojakul K, Chayakul P, Krisanapan S, et al. Murine typhus in Thailand: clinical features, diagnosis and treatment. Q J Med 1993;86:43-47 (Pubitemid 23120802)
19. Bernabeu-Wittel M, Pachon J, Alarcon A, et al. Murine typhus as a common cause of fever of intermediate duration: a 17-year study in the south of Spain. Arch Intern Med 1999;159:872-876 (Pubitemid 29200315)
20. Chen CH, Yang PM, Huang GT, et al. Estimation of seroprevalence of hepatitis B virus and hepatitis C virus in Taiwan from a large-scale survey of free hepatitis screening participants. J Formos Med Assoc 2007;106:148-155 (Pubitemid 46390505)
21. Lai CH, Chin C, Chung HC, et al. Acute Q fever hepatitis in patients with and without underlying hepatitis B or C virus infection. Clin Infect Dis 2007;45:e52-9.
22. Chang K, Lee NY, Chen YH, et al. Acute Q fever in southern Taiwan: atypical manifestations of hyperbilirubinemia and prolonged fever. Diagn Microbiol Infect Dis 2008;60: 211-216
23. Hu ML, Liu JW, Wu KL, et al. Short report: abnormal liver function in scrub typhus. Am J Trop Med Hyg 2005;73: 667-668 (Pubitemid 41446710)
24. Aronoff DM, Watt G. Prevalence of relative bradycardia in Orientia Tsutsugamushi infection. Am J Trop Med Hyg 2003; 68:477-479 (Pubitemid 38230651)
25. Cunha BA. The diagnostic significance of relative bradycardia in infectious disease. Clin Microbiol Infect 2000; 6:633-634 (Pubitemid 34966086)
26. Ostergaard L, Huniche B, Andersen PL. Relative bradycardia in infectious diseases. J Infect 1996;33:185-191 (Pubitemid 26402171)
27. Hofmann CE, Heaton JW Jr. Q fever hepatitis: clinical manifestations and pathological findings. Gastroenterology 1982;83:474-479 (Pubitemid 12078237)
28. Pellegrin M, Delsol G, Auvergnat JC, et al. Granulomatous hepatitis in Q fever. Hum Pathol 1980;11:51-57 (Pubitemid 10113943)
29. Srigley JR, Vellend H, Palmer N, et al. Q-fever. The liver and bone marrow pathology. Am J Surg Pathol 1985;9: 752-758 (Pubitemid 16215629)
30. Luksic B, Punda-Polic V, Ivic I, et al. Clinical and epidemiological features of hospitalized acute Q fever cases from Split-Dalmatia County (Croatia), 1985-2002. Med Sci Monit 2006;12:CR126-31.
31. Ergas D, Keysari A, Edelstein V, et al. Acute Q fever in Israel: clinical and laboratory study of 100 hospitalized patients. Isr Med Assoc J 2006;8:337-341 (Pubitemid 43805051)
32. Chien RN, Liu NJ, Lin PY, et al. Granulomatous hepatitis associated with scrub typhus. J Gastroenterol Hepatol 1995;10:484-487
33. Berman SJ, Kundin WD. Scrub typhus in South Vietnam. A study of 87 cases. Ann Intern Med 1973;79:26-30.
34. Yang CH, Hsu GJ, Peng MY, et al. Hepatic dysfunction in scrub typhus. J Formos Med Assoc 1995;94:101-105
35. Silpapojakul K, Mitarnun W, Ovartlarnpom B, et al. Liver involvement in murine typhus. Q J Med 1996;89:623-629 (Pubitemid 26278873)
36. Whiteford SF, Taylor JP, Dumler JS. Clinical, laboratory, and epidemiologic features of murine typhus in 97 Texas children. Arch Pediatr Adolesc Med 2001;155:396-400. (Pubitemid 32199189)
37. Gabay C, Kushner I. Acute-phase proteins and other systemic responses to inflammation. N Engl J Med 1999;340: 448-454 (Pubitemid 29084777)
38. th edition. Philadelphia: Lippincott Williams & Wilkins, 2003:1151-1170