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Volume 18, Number 6—June 2012

Dispatch

Bartonella vinsonii subsp. arupensis in Humans, Thailand

Ying BaiComments to Author , Michael Y. Kosoy, Maureen H. Diaz, Jonas Winchell, Henry Baggett, Susan A. Maloney, Sumalee Boonmar, Saithip Bhengsri, Pongpun Sawatwong, and Leonard F. Peruski
Author affiliations: Centers for Disease Control and Prevention, Fort Collins, Colorado, USA (Y. Bai, M.Y. Kosoy); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (M.H. Diaz, J. Winchell); Centers for Disease Control and Prevention, Nonthaburi, Thailand (H. Baggett, S.A. Maloney, S. Boonmar, S. Bhengsri, P. Sawatwong, L.F. Peruski)

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Table

Clinical characteristics and animal exposures of 4 patients with Bartonella vinsonii subsp. arupensis detected in blood, Thailand, February 2002–March 2003*

Patient ID no. Age, y/sex Occupation Province Clinical symptoms Abnormal laboratory test results Pet(s)
45–00025 56/M Farmer Chiang Rai Fever, chill, fatigue, myalgia AST 70 IU/dL, ALP 210 IU/dL Cat
45–01217 11/F Student Khon Kaen Fever, chill, fatigue, myalgia, headache, icterus Hb 11.3 g/dL, ALP 663 IU/dL Cat, dog
45–01239 39/F Business Khon Kaen Fever, chill, fatigue, myalgia, headache, eye pain Hb 12.1 g/dL, AST 73 IU/dL, ALT 141 IU/dL, ALP 388 IU/dL Dog
45–00250 35/M Day laborer Khon Kaen Fatigue, myalgia, joint pain, headache, cough, abdominal pain Normal values Dog

*All patients reported exposure to rats during the 2 weeks before onset of symptoms. ID, identification; AST, aspartate aminotransferase (reference value 5–35 IU/dL); ALP, alkaline phosphatase (reference value 30–115 IU/dL); Hb, hemoglobin (reference value <13.8 g/dL); ALT, alanine aminotransferase (reference value 5–35 IU/dL).

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