title: Unsuspected rickettsioses among patients with acute febrile illness, Sri Lanka, 2007.
abstract: We studied rickettsioses in southern Sri Lanka. Of 883 febrile patients with paired serum samples, 156 (17.7%) had acute rickettsioses; rickettsioses were unsuspected at presentation. Additionally, 342 (38.7%) had exposure to spotted fever and/or typhus group rickettsioses and 121 (13.7%) scrub typhus. Increased awareness of rickettsioses and better tests are needed.
authors.affiliation: Johns Hopkins University School of Medicine, Baltimore, Maryland 21205, USA. mreller1@jhmi.edu
authors.forename: Megan E
authors.initials: ME
authors.lastname: Reller
authors.forename: Champica
authors.initials: C
authors.lastname: Bodinayake
authors.forename: Ajith
authors.initials: A
authors.lastname: Nagahawatte
authors.forename: Vasantha
authors.initials: V
authors.lastname: Devasiri
authors.forename: Wasantha
authors.initials: W
authors.lastname: Kodikara-Arachichi
authors.forename: John J
authors.initials: JJ
authors.lastname: Strouse
authors.forename: Judith E
authors.initials: JE
authors.lastname: Flom
authors.forename: Truls
authors.initials: T
authors.lastname: Østbye
authors.forename: Christopher W
authors.initials: CW
authors.lastname: Woods
authors.forename: J Stephen
authors.initials: JS
authors.lastname: Dumler
mesh_terms: D000293:Adolescent; D000328:Adult; D000907:Antibodies, Bacterial / Q000097:blood / Q000276:immunology; D002648:Child; D005260:Female; D005334:Fever / Q000382:microbiology*; D006801:Humans; D007074:Immunoglobulin G / Q000097:blood / Q000276:immunology; D008297:Male; D008875:Middle Aged; D012281:Rickettsia / Q000276:immunology; D012282:Rickettsia Infections / Q000175:diagnosis* / Q000453:epidemiology; D013188:Sri Lanka / Q000453:epidemiology; D055815:Young Adult
chemical_list: D000907:Antibodies, Bacterial; D007074:Immunoglobulin G