Causes of Fever in Rural Southern Laos
Causes of Fever in Rural Southern Laos
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DOI：
10.4269/ajtmh.14-0772
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发表时间：
2015-09-01
影响因子：
3.3
通讯作者：
Newton, Paul N.
中科院分区：
文献类型：
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作者：
Mayxay, Mayfong;Sengvilaipaseuth, Onanong;Newton, Paul N.
由于缺乏实验室设施，老挝人民民主共和国（老挝）农村地区发烧的病因直到最近仍不清楚。我们进行了一项研究，以确定老挝南部沙湾拿吉省229名非疟疾患者的发热原因; 52%有至少一种诊断的证据（45%为单一感染，7%为明显的多重感染）。在仅有一种诊断的患者中，登革热（30.1%）最常见，其次是钩端螺旋体病（7.0%）、日本脑炎病毒感染（3.5%）、恙虫病（2.6%）、斑点热群感染（0.9%）、未指明的黄病毒感染（0.9%）和鼠斑疹伤寒（0.4%）。我们将讨论与这些发现有关的发热的经验性治疗。
The etiology of fever in rural Lao People's Democratic Republic (Laos) has remained obscure until recently owing to the lack of laboratory facilities. We conducted a study to determine the causes of fever among 229 patients without malaria in Savannakhet Province, southern Laos; 52% had evidence of at least one diagnosis (45% with single and 7% with apparent multiple infections). Among patients with only one diagnosis, dengue (30.1%) was the most common, followed by leptospirosis (7.0%), Japanese encephalitis virus infection (3.5%), scrub typhus (2.6%), spotted fever group infection (0.9%), unspecified flavivirus infection (0.9%), and murine typhus (0.4%). We discuss the empirical treatment of fever in relation to these findings.