TY - JOUR
T1 - Scrub typhus in previously unrecognized areas of endemicity in China
AU - Zhang, Shouyin
AU - Song, Hongbin
AU - Liu, Yan
AU - Li, Qun
AU - Wang, Yong
AU - Wu, Jiabin
AU - Wan, Junfeng
AU - Li, Guolan
AU - Yu, Changjun
AU - Li, Xiuyong
AU - Yin, Wenwu
AU - Xu, Zhen
AU - Liu, Bo
AU - Zhang, Qian
AU - Wan, Kanglin
AU - Li, Guichang
AU - Fu, Xiuping
AU - Zhang, Jingshan
AU - He, Jinrong
AU - Hai, Rong
AU - Yu, Dongzheng
AU - Walker, David H.
AU - Xu, Jianguo
AU - Yu, Xue Jie
PY - 2010/4/1
Y1 - 2010/4/1
N2 - Scrub typhus, caused by Orientia tsutsugamushi, has emerged recently in areas of northern China where the disease had not been known to exist. We analyzed epidemiological, clinical, and laboratory data for 104 patients who were admitted to a hospital in Fuyang City between 26 September and 1 November 2008. We showed that the major clinical manifestations of the patients were fever (100%), headache (82%), myalgias (77%), eschar (67%), rash (52%), and unusual facial flushing (62%). Among the 104 patients, the sera of 98% contained IgM antibodies to O. tsutsugamushi detected by indirect immunofluorescence assays (IFA), and DNA of the O. tsutsugamushi 56-kDa gene was amplified by PCR from the blood of 36 patients. We conclude that 104 patients were infected with scrub typhus in Fuyang City, Anhui Province. Our study indicates that physicians need to consider the diagnosis of scrub typhus for febrile patients living in northern China, where scrub typhus had not been considered to exist in the past.
AB - Scrub typhus, caused by Orientia tsutsugamushi, has emerged recently in areas of northern China where the disease had not been known to exist. We analyzed epidemiological, clinical, and laboratory data for 104 patients who were admitted to a hospital in Fuyang City between 26 September and 1 November 2008. We showed that the major clinical manifestations of the patients were fever (100%), headache (82%), myalgias (77%), eschar (67%), rash (52%), and unusual facial flushing (62%). Among the 104 patients, the sera of 98% contained IgM antibodies to O. tsutsugamushi detected by indirect immunofluorescence assays (IFA), and DNA of the O. tsutsugamushi 56-kDa gene was amplified by PCR from the blood of 36 patients. We conclude that 104 patients were infected with scrub typhus in Fuyang City, Anhui Province. Our study indicates that physicians need to consider the diagnosis of scrub typhus for febrile patients living in northern China, where scrub typhus had not been considered to exist in the past.
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U2 - 10.1128/JCM.01784-09
DO - 10.1128/JCM.01784-09
M3 - Article
C2 - 20129967
AN - SCOPUS:77950482012
SN - 0095-1137
VL - 48
SP - 1241
EP - 1244
JO - Journal of Clinical Microbiology
JF - Journal of Clinical Microbiology
IS - 4
ER -