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Volume 12, Number 2—February 2006
Research

Rickettsial Infections and Fever, Vientiane, Laos

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*‡§, and Paul N. Newton*‡Comments to Author 
Author affiliations: *Mahosot Hospital, Vientiane, Laos; †Université de la Méditerranée, Marseille, France; ‡University of Oxford, Oxford, United Kingdom; §Mahidol University, Bangkok, Thailand; #National University of Laos, Vientiane, Laos; ¶Francophone Institute for Tropical Medicine, Vientiane, Laos

Main Article

Table 2

Clinical features of patients with serologic evidence for acute spotted fever rickettsioses admitted to Mahosot Hospital*

Patient no. Age (y), sex Occupation Month of onset of illness Clinical features Home
45 30, male Construction worker March 18-day fever, myalgia, nausea, epistaxis, vomiting, abdominal pain, petechial rash on trunk and legs; liver and spleen not palpable; treated with ampicillin and gentamicin Vientiane City
72 35, female Teacher April 13-day fever, chills, headache, nausea, myalgia, vomiting, conjunctival suffusion, dyspnea, 12-cm liver; treated with ofloxacin Vientiane City
86 25, male Health worker May 11-day fever, headache, nausea, vomiting, abdominal pain, 10-cm liver Vientiane City
114 18, male Student June 14-day fever, chill, headache, arthralgia, myalgia, rash developed 2 days after admission, 12-cm liver; treated with ofloxacin Vientiane Province
198 50, male Government official September 24-day fever, headache, arthralgia, myalgia, vertigo, epistaxis, diarrhea; abdominal CT suggested hepatic carcinoma; no antimicrobial drug Xieng Khuang Province
237 64, male Government official September 21-day fever, myalgia, arthralgia, abdominal pain, sore throat, cough, dyspnea; chest exam abnormal Vientiane City
290 24, female Construction worker March 7-day fever, headache, vomiting, myalgia, unproductive cough, diarrhea; treated with doxycycline Vientiane City
362 23, female Student June 10-day fever, myalgia, headache, conjunctival suffusion, 8-cm liver; treated with doxycycline Vientiane City
297 43, female Housewife March 14-day fever, headache, jaundice, RUQ pain, myalgia, 8-cm hepatomegaly; abdominal CT suggested tumor of intrahepatic bile ducts (cholangiocarcinoma?); treated with ampicillin and gentamicin Xieng Khuang Province
55 34, female Housewife April 7-day fever, chills, headache, myalgia, diarrhea, abdominal pain, nausea, vomiting, rash on arms and abdomen; treated with oral chloramphenicol Vientiane Province
239 46, male Merchant November 6-day fever, headache, myalgia, arthralgia, nausea, abdominal pain, diarrhea, dyspnea, dry cough, and sore throat; treated with doxycycline Vientiane City

*CT, computed tomographic scan; RUQ, right upper quadrant.

Main Article

Page created: February 02, 2012
Page updated: February 02, 2012
Page reviewed: February 02, 2012
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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