Volume 12, Number 2—February 2006
Research
Rickettsial Infections and Fever, Vientiane, Laos
Simaly Phongmany*, Jean-Marc Rolain†, Rattanaphone Phetsouvanh*, Stuart D. Blacksell*‡§, Vimone Soukkhaseum*, Bouachanh Rasachack*, Khamphong Phiasakha*, Surn Soukkhaseum*, Khamthavi Frichithavong*, Vang Chu*, Valy Keolouangkhot*¶, Bertrand Martinez-Aussel*#, Ko Chang*, Chirapha Darasavath*, Oudayvone Rattanavong*, Siho Sisouphone*, Mayfong Mayxay*#, Sisouphane Vidamaly*¶, Philippe Parola†, Chanpheng Thammavong*, Mayboun Heuangvongsy*, Bounkong Syhavong*, Didier Raoult†, Nicholas J. White*‡§, and Paul N. Newton*‡
Table 2
Clinical features of patients with serologic evidence for acute spotted fever rickettsioses admitted to Mahosot Hospital*
| Patient no. | Age (y), sex | Occupation | Month of onset of illness | Clinical features | Home |
|---|---|---|---|---|---|
| 45 | 30, male | Construction worker | March | 18-day fever, myalgia, nausea, epistaxis, vomiting, abdominal pain, petechial rash on trunk and legs; liver and spleen not palpable; treated with ampicillin and gentamicin | Vientiane City |
| 72 | 35, female | Teacher | April | 13-day fever, chills, headache, nausea, myalgia, vomiting, conjunctival suffusion, dyspnea, 12-cm liver; treated with ofloxacin | Vientiane City |
| 86 | 25, male | Health worker | May | 11-day fever, headache, nausea, vomiting, abdominal pain, 10-cm liver | Vientiane City |
| 114 | 18, male | Student | June | 14-day fever, chill, headache, arthralgia, myalgia, rash developed 2 days after admission, 12-cm liver; treated with ofloxacin | Vientiane Province |
| 198 | 50, male | Government official | September | 24-day fever, headache, arthralgia, myalgia, vertigo, epistaxis, diarrhea; abdominal CT suggested hepatic carcinoma; no antimicrobial drug | Xieng Khuang Province |
| 237 | 64, male | Government official | September | 21-day fever, myalgia, arthralgia, abdominal pain, sore throat, cough, dyspnea; chest exam abnormal | Vientiane City |
| 290 | 24, female | Construction worker | March | 7-day fever, headache, vomiting, myalgia, unproductive cough, diarrhea; treated with doxycycline | Vientiane City |
| 362 | 23, female | Student | June | 10-day fever, myalgia, headache, conjunctival suffusion, 8-cm liver; treated with doxycycline | Vientiane City |
| 297 | 43, female | Housewife | March | 14-day fever, headache, jaundice, RUQ pain, myalgia, 8-cm hepatomegaly; abdominal CT suggested tumor of intrahepatic bile ducts (cholangiocarcinoma?); treated with ampicillin and gentamicin | Xieng Khuang Province |
| 55 | 34, female | Housewife | April | 7-day fever, chills, headache, myalgia, diarrhea, abdominal pain, nausea, vomiting, rash on arms and abdomen; treated with oral chloramphenicol | Vientiane Province |
| 239 | 46, male | Merchant | November | 6-day fever, headache, myalgia, arthralgia, nausea, abdominal pain, diarrhea, dyspnea, dry cough, and sore throat; treated with doxycycline | Vientiane City |
*CT, computed tomographic scan; RUQ, right upper quadrant.
