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Volume 12, Number 10—October 2006

Dispatch

Scrub Typhus in Himalayas

Sanjay K. Mahajan*Comments to Author , Jean-Marc Rolain†, Rajesh Kashyap*, Diprabhanu Bakshi‡, Vijay Sharma*, Bhupalngh Prasher*, Lalngh Pal*, and Didier Raoult†
Author affiliations: *IG Medical College, Shimla, Himachal Pradesh, India; †Université de la Méditerranée, Marseille, France; ‡Defence Research and Development Establishment, Gwalior, Madhya Pradesh, India

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Table 1

MIF assay results from 21 patients with suspected scrub typhus, Himalayas, 2004*

Patient no. MIF titers (IgG/IgM)
Outcome
Orientia Kato/Gilliam Orientia Kawasaki
1 128/0 512/0 Died†
2 128/0 256/0 Improved†
3 1,024/0 1,024/0 Improved
4 128/64 256/64 Improved
5 2,048/0 2,048/0 Improved
6 2,048/1024 2,048/1,024 Improved
7 1,024/128 512/128 Improved
8 2,048/64 512/0 Improved
9 512/0 512/0 Died†
10 2,048/0 2,048/0 Improved
11 1,024/256 1,024/256 Improved
12 256/128 512/256 Improved
13 2,048/0 2,048/0 Improved
14 0/128 0/128 Improved
15 512/256 256/256 Died
16 64/128 128/128 Improved
17 512/0 512/0 Improved
18 2,048/0 2,048/0 Improved
19 512/64 0/64 Improved
20 64/64 0/64 Improved
21 128/256 0/256 Improved

*MIF, microimmunofluorescence; Ig, immunoglobulin. IgM was considered positive at a titer of 64; IgG was considered positive at a titer of 128.
†Positive PCR result.

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