Marie-Noëlle Billard, Gaston De Serres, Marie-Claude Gariépy, Nicole Boulianne, Eveline Toth, Monique Landry, Danuta M Skowronski
Prevalence of risk factors for acquiring measles during the 2011 outbreak in Quebec and impact of the province-wide school-based vaccination campaign on population immunity
PloS one
scrub typhus st acute febrile illness caused obligate intracellular bacteria family rickettsia often unrecognized neglected prevalent tropical regions endemic areas tragedy behind diagnostic dilemma nonspecific clinical signs symptoms limited awareness unavailability diagnostic facilities low index suspicion among physicians address knowledge gap tried find proper panel laboratory investigations diagnose disease predict progression uncertainty course disease tertiary care hospital western nepal hospital laboratorybased prospective study conducted gandaki medical college teaching hospital gmcth period two years among 988 cases acute febrile illness 40 seropositive cases st enrolled study excluded give consent participation 17 years age preexisting liver dysfunctions comorbidities dual seropositive infectious etiologies used descriptive statistics analyze data terms demography clinical features laboratory parameters 988 febrile patients included 40 confirmed cases st aged 17 70 years studyperiod maximum seropositive cases tanahun district 14 35 predominance among women 70 cases prevalent age group 3060 years 19 475 month october 15 375 commonest complaints fever 40 100 headache 20 50 eschar 11 275 laboratory parameters showed anemia 22 55 hypoalbuminemia 11 275 leukopenia 5 125 leukocytosis 9 225 thrombocytopenia 13 325 raised transaminase levels sgpt 21 525 sgot 14 26 st patients found clinical laboratory profiles patients st varied nonspecific however knowledge findings may evoke recognition st give clue progression disease