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. 2016 Jul 6;95(1):43-49.
doi: 10.4269/ajtmh.15-0752. Epub 2016 May 2.

Sennetsu Neorickettsiosis, Spotted Fever Group, and Typhus Group Rickettsioses in Three Provinces in Thailand

Affiliations

Sennetsu Neorickettsiosis, Spotted Fever Group, and Typhus Group Rickettsioses in Three Provinces in Thailand

Saithip Bhengsri et al. Am J Trop Med Hyg. .

Abstract

We estimated the seroprevalence and determined the frequency of acute infections with Neorickettsia sennetsu, spotted fever group rickettsiae, Rickettsia typhi, and Orientia tsutsugamushi among 2,225 febrile patients presenting to community hospitals in three rural Thailand provinces during 2002-2005. The seroprevalence was 0.2% for sennetsu neorickettsiosis (SN), 0.8% for spotted fever group (SFG) rickettsiae, 4.2% for murine typhus (MT), and 4.2% for scrub typhus (ST). The frequency of acute infections was 0.1% for SN, 0.6% for SFG, 2.2% for MT, and 1.5% for ST. Additional studies to confirm the distribution of these pathogens and to identify animal reservoirs and transmission cycles are needed to understand the risk of infection.

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Figures

Figure 1.
Figure 1.
Location of study sites: two hospitals each in Chiang Rai, Khon Kaen, and Nakhon Phanom provinces, Thailand, 2002–2005.
Figure 2.
Figure 2.
Febrile patients with positive antibody titers in acute or convalescent serum (IgG ≥ 128 or IgM ≥ 64) to spotted fever group (SFG), murine typhus (MT), scrub typhus (ST), and sennetsu neorickettsiosis (SN) in the north and northeastern Thailand, 2002–2005.
Figure 3.
Figure 3.
Febrile patients with serologically confirmed acute infection (a rise in IgG or IgM titers between acute and convalescent sera (i.e., seroconversion) with spotted fever group (SFG), murine typhus (MT), scrub typhus (ST), and sennetsu neorickettsiosis (SN) in the north and northeastern Thailand, 2002–2005.

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