Brazilian spotted fever: a case series from an endemic area in southeastern Brazil: clinical aspects
This case series study is based on a retrospective review of medical records and case notification files of patients admitted to The Hospital das Clínicas da UNICAMP from 1985 to 2003 with a confirmed diagnosis of BSF either by fourfold rise in indirect immunofluorescence assay (IFA) titers of IgG a...
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| Veröffentlicht in: | Annals of the New York Academy of Sciences 2006-10, Vol.1078 (1), p.252-254 |
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| container_title | Annals of the New York Academy of Sciences |
| container_volume | 1078 |
| creator | Angerami, Rodrigo N Resende, Mariângela R Feltrin, Adriana F C Katz, Gizelda Nascimento, Elvira M Stucchi, Raquel S B Silva, Luiz J |
| description | This case series study is based on a retrospective review of medical records and case notification files of patients admitted to The Hospital das Clínicas da UNICAMP from 1985 to 2003 with a confirmed diagnosis of BSF either by fourfold rise in indirect immunofluorescence assay (IFA) titers of IgG antibodies reactive with R. rickettsii or isolation of R. rickettsii from blood or skin specimens. A median lethality of 41.9 % was observed between 1985 and 2004. The case-fatality ratio of 30 % in our study, lower than the overall São Paulo state ratio, could be explained by a higher index of suspicion and a larger experience in our hospital, a regional referral center for BSF. The presence of the classical triad of fever, rash, and headache as described in RMSF was observed in fever than half (35.2%) of our patients. |
| doi_str_mv | 10.1196/annals.1374.044 |
| format | Article |
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A median lethality of 41.9 % was observed between 1985 and 2004. The case-fatality ratio of 30 % in our study, lower than the overall São Paulo state ratio, could be explained by a higher index of suspicion and a larger experience in our hospital, a regional referral center for BSF. 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| identifier | ISSN: 0077-8923 |
| ispartof | Annals of the New York Academy of Sciences, 2006-10, Vol.1078 (1), p.252-254 |
| issn | 0077-8923 1749-6632 |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Brazil - epidemiology Humans Incidence Medical Records Retrospective Studies Rickettsia Infections - diagnosis Rickettsia Infections - epidemiology Rickettsia Infections - mortality Survival Analysis |
| title | Brazilian spotted fever: a case series from an endemic area in southeastern Brazil: clinical aspects |
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