Literature DB >> 19931108

Contribution of rickettsioses in Sri Lankan patients with fever who responded to empirical doxycycline treatment.

R Premaratna1, R P V J Rajapakse, T G A N Chandrasena, D M Nanayakkara, N K B K R G W Bandara, S A M Kularatna, M E Eremeeva, G A Dasch, H J de Silva.   

Abstract

Twenty-eight febrile Sri Lankan patients with undiagnosed fever for 7 days after hospital admission, who responded to empirical treatment with doxycycline, were retrospectively investigated using microimmunofluorescence assay to verify whether they had rickettsial infection. Eleven (39%) patients were confirmed as having spotted fever group rickettsioses and 10 (36%) as having Orientia tsutsugamushi. Seven were negative for all tests. This suggests that greater use of doxycycline appears justified for patients with undiagnosed fever in settings where rickettsial diseases are endemic or re-emerging with inadequate diagnostic facilities. Copyright 2009 Royal Society of Tropical Medicine and Hygiene. All rights reserved.

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Year:  2010        PMID: 19931108     DOI: 10.1016/j.trstmh.2009.10.006

Source DB:  PubMed          Journal:  Trans R Soc Trop Med Hyg        ISSN: 0035-9203            Impact factor:   2.184


  6 in total

1.  Cutaneous manifestations of spotted fever rickettsial infections in the Central Province of Sri Lanka: a descriptive study.

Authors:  Kosala Weerakoon; Senanayake A M Kularatne; Jayanthe Rajapakse; Sanjaya Adikari; Roshitha Waduge
Journal:  PLoS Negl Trop Dis       Date:  2014-09-18

2.  Revisiting clinico-epidemiological pattern of human rickettsial infections in the central region of Sri Lanka: a hospital based descriptive study.

Authors:  Kosala Gayan Weerakoon; Senanayake A M Kularatne; Jayanthe Rajapakse; Sanjaya Adikari; Kanchana Udayawarna
Journal:  BMC Res Notes       Date:  2017-08-11

Review 3.  Scrub typhus: risks, diagnostic issues, and management challenges.

Authors:  John Antony Jude Prakash
Journal:  Res Rep Trop Med       Date:  2017-08-07

4.  Bilateral Sensorineural Deafness in a Young Pregnant Female Presenting with a Fever: A Rare Complication of a Reemerging Disease-Spotted Fever Group Rickettsioses.

Authors:  A G T A Kariyawasam; D R Palangasinghe; C L Fonseka; P U T De Silva; T E Kanakkahewa; N J Dahanayaka
Journal:  Case Rep Infect Dis       Date:  2019-03-25

5.  Clinically helpful rickettsial disease diagnostic IgG titers in relation to duration of illness in an endemic setting in Sri Lanka.

Authors:  Ranjan Premaratna; Sanjaya Weerasinghe; Amanda Ranaweera; T G A Nilmini Chandrasena; Narasinghe W Bandara; Gregory A Dasch; H Janaka de Silva
Journal:  BMC Res Notes       Date:  2012-11-30

6.  Scrub typhus mimicking Parkinson's disease.

Authors:  Ranjan Premaratna; S H Nuwan Chamara Wijayalath; J K N Dhanushka Miththinda; N K B K R G Wijesinghe Bandara; H Janaka de Silva
Journal:  BMC Res Notes       Date:  2015-09-15
  6 in total

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