Skip directly to site content Skip directly to page options Skip directly to A-Z link Skip directly to A-Z link Skip directly to A-Z link
Volume 13, Number 11—November 2007
Dispatch

Severe Spotted Fever Group Rickettsiosis, Australia

William J.H. McBride*Comments to Author , Joshua P. Hanson†, Robert Miller‡, and Drew Wenck§
Author affiliations: *James Cook University, Cairns, Queensland, Australia; †Wellcome Trust-Mahidol University-Oxford Tropical Medicine Research Programme, Bangkok, Thailand; ‡The Townsville Hospital, Douglas, Queensland, Australia; §Cairns Base Hospital, Cairns, Queensland, Australia

Main Article

Table

Laboratory test results in 3 severe cases of infection with Rickettsia australis, Australia

Test Case 1 Case 2 Case 3 Reference range
Hemoglobin, g/L 124 130 142 115–160
Neutrophil count, cells/L 6.19 11.4 8.8 2.00–8.00 × 109
Lymphocyte count, cells/L 0.39 0.4 1.58 1.00–4.00 × 109
Platelet count, cells/L 63 30 167 140–400 × 109
Sodium, mmol/L 131 135 139 135–145
Urea, mmol/L 9.8 27.8 5.0 3.0–8.0
Creatinine, μmol/L 190 430 100 70–120
Bilirubin, μmol/L 28 105 41 <20
Alkaline phosphatase, U/L 295 250 587 30–120
Gamma-glutamyl transferase, U/L 205 121 877 <50
Alanine aminotransferase, U/L 131 47 404 <40
Aspartate aminotransferase, U/L 178 152 417 <35
Leptospirosis immunoglobulin M Negative Negative Negative
Duration of symptoms before doxycycline treatment, d 17 14 10
R. australis antibody titer* Negative to 2,048 over 9 d 64–1,024 over 8 d Negative to >1,024 over 9 d Negative <64
Positive >64

*By immunofluorescence.

Main Article

Page created: July 05, 2010
Page updated: July 05, 2010
Page reviewed: July 05, 2010
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
file_external