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Volume 10, Number 10—October 2004

Dispatch

Scrub Typhus in the Republic of Palau, Micronesia

A. Mark Durand*Comments to Author , Stevenson Kuartei†, Ishmael Togamae†, Maireng Sengebau†, Linda Demma‡, William Nicholson‡, and Michael O’Leary‡§
Author affiliations: *Department of Health Services, Yap State, Colonia, Yap, Federated States of Micronesia; †Ministry of Health, Koror, Republic of Palau; ‡Pacific Islands Health Officer Association, Agatna, Territory of Guam; §Centers for Disease Control and Prevention, Atlanta, Georgia, USA

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Table 1

Clinical findings among 15 scrub typhus patients in case series, Palau, 2001–2003

Finding No. (%) of total patients, N = 15 No. (%) of sero-positive patients, 
N = 6
Fever 15 (100) 6 (100)
Abdominal pain 10 (67) 5 (84)
Vomiting 12 (80) 4 (67)
Headache 10 (67) 4 (67)
Rash 7 (47) 1 (16)
Cough/rhinorrhea 6 (40) 2 (33)
Elevated alanine aminotransferase 6 (40) 2 (33)
Proteinuria 4 (27) 1 (16)
Myalgia 3 (20) 2 (33)
Conjunctival suffusion 3 (20) 2 (33)
Leukocytosis 3 (20) 2 (33)
Diarrhea 3 (20) 1 (16)
CSF pleocytosis 2 (13) 0
Visible blood in stool 1 (7) 0

aCSF, cerebrospinal fluid.

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