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Distinguishing Japanese Spotted Fever and Scrub Typhus, Central Japan, 2004-2015


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タイトル: Distinguishing Japanese Spotted Fever and Scrub Typhus, Central Japan, 2004-2015
著者: Sando, Eiichiro / Suzuki, Motoi / Katoh, Shungo / Fujita, Hiromi / Taira, Masakatsu / Yaegashi, Makito / Ariyoshi, Koya
発行日: 2018年 9月
出版者: Centers for Disease Control and Prevention (CDC)
引用: Emerging Infectious Diseases, 24(9), pp.1633-1641; 2018
抄録: Japanese spotted fever (JSF) and scrub typhus (ST) are endemic to Japan and share similar clinical features. To document the clinical and epidemiologic characteristics that distinguish these 2 rickettsial diseases, during 2004–2015 we recruited 31 JSF patients, 188 ST patients, and 97 nonrickettsial disease patients from the Southern Boso Peninsula of Japan. JSF occurred during April–October and ST during November–December. Patients with JSF and ST were significantly older and more likely to reside in wooded areas than were patients with nonrickettsial diseases. Spatial analyses revealed that JSF and ST clusters rarely overlapped. Clinical findings more frequently observed in JSF than in ST patients were purpura, palmar/plantar rash, hyponatremia, organ damage, and delayed defervescence after treatment. Although their clinical features are similar, JSF and ST differ in seasonality, geographic distribution, physical signs, and severity. Because a considerable percentage of patients did not notice rash and eschar, many rickettsial diseases might be underdiagnosed in Japan.
URI: http://hdl.handle.net/10069/38567
ISSN: 10806040
DOI: 10.3201/eid2409.171436
資料タイプ: Journal Article
原稿種類: publisher
出現コレクション:120 学術雑誌論文

引用URI : http://hdl.handle.net/10069/38567

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