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Volume 29, Number 1—January 2023
Dispatch

Clinical Forms of Japanese Spotted Fever from Case-Series Study, Zigui County, Hubei Province, China, 2021

Zhongqiu Teng1, Ping Gong1, Wen Wang, Na Zhao, Xiaojing Jin, Xiangrong Sun, Haijian Zhou, Junlin Lu, Xuebing Lin, Bohai Wen, Biao Kan, Jianguo Xu, and Tian QinComments to Author 
Author affiliations: State Key Laboratory of Infectious Disease Prevention and Control, Beijing, China (Z. Teng, W. Wang, N. Zhao, X. Jin, H. Zhou, B. Kan, J. Xu, T. Qin); National Institute for Communicable Disease Control and Prevention, Beijing (Z. Teng, W. Wang, N. Zhao, X. Jin, H. Zhou, B. Kan, J. Xu, T. Qin); Zigui People's Hospital, Yichang, China (P. Gong, J. Lu, X. Lin); Nanchang Municipal Center for Disease Control and Prevention, Nanchang, China (X. Sun); Beijing Institute of Microbiology and Epidemiology, Beijing (B. Wen)

Main Article

Table 1

Epidemiologic and clinical characteristics of patients with Rickettsia japonica infection, Zigui County, Hubei Province, China

Characteristics Case 1* Case 2 Case 3 Case 4 Case 5
Sex Female Male Male Female Female
Age, y 58 47 68 57 70
Month of admission Apr Jun Sep Sep Oct
Occupation Farmer Village teacher Farmer Farmer Farmer
Possible causative exposures Picking tea,
tea garden		 Collecting bamboo,
bamboo groves		 Herding sheep,
woodland		 Farm work,
fields		 Farm work and chopping wood, fields and woodland
Previous illness Healthy Healthy Hypertension Healthy Hypertension
Day of admission†
 8
 4
 6
 15
 5
Signs and symptoms
Highest temperature, °C 39.0 39.0 39.0 38.5 39.5
Fever type Continued Continued Continued Undetermined‡ Undetermined§
Headache Present Present Present Present Present
Malaise Present Present Present Present Present
Myalgia Present Present Present Present Present
Chills Present Present Present Present Present
Eschar Absent Present Present Present Present
Rash (day) Present (11) Present (3) Present (10) Present (13) Present (10)
Hypotension (day) Present (9) Absent Absent Absent Absent
Dyspnea (day) Present (9) Present (6) Present (10) Present (15) Present (5)
Vomiting (day) Present (9) Absent Present (10) Absent Present (7)
Edema (day) Face (9) Absent Lower extremities (10) Absent Lower extremities (10)
Clouding of consciousness Present Present Present Present Present
Proteinuria +++ +– + – ++
Anuria (day) Present (9) Absent Absent Absent Absent
Abdominal pain Absent Absent Present (11) Absent Absent
Pelvic effusion Absent Absent Absent Absent Present (5)
Pleural effusion (day) Present (9) Absent Present (10) Absent Present (5)
Pericardial effusion Absent Absent Present (10) Absent Present (5)
Ascites effusion Absent Absent Absent Absent Present (5)

*Fatal case. †Day on which sign or symptom manifested in patient, when applicable. The day when the patients first experienced headache and fatigue was defined as Day 0. ‡Difficulty determining fever type because of drug intervention. §Urine protein concentration: –, <0.1 g/L; +–, 0.1–0.2 g/L; +, 0.2–1.0 g/L; ++, 1.0–2.0 g/L; +++, 2.0–4.0 g/L.

Main Article

1These authors contributed equally to this article.

Page created: November 04, 2022
Page updated: December 22, 2022
Page reviewed: December 22, 2022
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.
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