Distinguishing Japanese Spotted Fever and Scrub Typhus, Central Japan, 2004– 2015

Japanese spotted fever (JSF) and scrub typhus (ST) are endemic to Japan and share similar clinical features. To document the clinical and epidemiologic characteristics that distinguish these 2 rickettsial diseases, during 2004–2015 we recruited 31 JSF patients, 188 ST patients, and 97 nonrickettsial...
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Autor*in:	Eiichiro Sando [verfasserIn] Motoi Suzuki [verfasserIn] Shungo Katoh [verfasserIn] Hiromi Fujita [verfasserIn] Masakatsu Taira [verfasserIn] Makito Yaegashi [verfasserIn] Koya Ariyoshi [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2018

Schlagwörter:	Japanese spotted fever scrub typhus tsutsugamushi disease Orientia tsutsugamushi Rickettsia japonica Rickettsia

Übergeordnetes Werk:	In: Emerging Infectious Diseases - Centers for Disease Control and Prevention, 2003, 24(2018), 9, Seite 1633-1641
Übergeordnetes Werk:	volume:24 ; year:2018 ; number:9 ; pages:1633-1641

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.3201/eid2409.171436

Katalog-ID:	DOAJ059438584

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520			\|a Japanese spotted fever (JSF) and scrub typhus (ST) are endemic to Japan and share similar clinical features. To document the clinical and epidemiologic characteristics that distinguish these 2 rickettsial diseases, during 2004–2015 we recruited 31 JSF patients, 188 ST patients, and 97 nonrickettsial disease patients from the southern Boso Peninsula of Japan. JSF occurred during April–October and ST during November–December. Patients with JSF and ST were significantly older and more likely to reside in wooded areas than were patients with nonrickettsial diseases. Spatial analyses revealed that JSF and ST clusters rarely overlapped. Clinical findings more frequently observed in JSF than in ST patients were purpura, palmar/plantar rash, hyponatremia, organ damage, and delayed defervescence after treatment. Although their clinical features are similar, JSF and ST differ in seasonality, geographic distribution, physical signs, and severity. Because a considerable percentage of patients did not notice rash and eschar, many rickettsial diseases might be underdiagnosed in Japan.
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Indexfelder

author_variant	e s es m s ms s k sk h f hf m t mt m y my k a ka
matchkey_str	article:10806059:2018----::itnusigaaeeptefvrnsrbyhse
hierarchy_sort_str	2018
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publishDate	2018
allfields	10.3201/eid2409.171436 doi (DE-627)DOAJ059438584 (DE-599)DOAJ74588e498b98494b9297eecea241d772 DE-627 ger DE-627 rakwb eng RC109-216 Eiichiro Sando verfasserin aut Distinguishing Japanese Spotted Fever and Scrub Typhus, Central Japan, 2004– 2015 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Japanese spotted fever (JSF) and scrub typhus (ST) are endemic to Japan and share similar clinical features. To document the clinical and epidemiologic characteristics that distinguish these 2 rickettsial diseases, during 2004–2015 we recruited 31 JSF patients, 188 ST patients, and 97 nonrickettsial disease patients from the southern Boso Peninsula of Japan. JSF occurred during April–October and ST during November–December. Patients with JSF and ST were significantly older and more likely to reside in wooded areas than were patients with nonrickettsial diseases. Spatial analyses revealed that JSF and ST clusters rarely overlapped. Clinical findings more frequently observed in JSF than in ST patients were purpura, palmar/plantar rash, hyponatremia, organ damage, and delayed defervescence after treatment. Although their clinical features are similar, JSF and ST differ in seasonality, geographic distribution, physical signs, and severity. Because a considerable percentage of patients did not notice rash and eschar, many rickettsial diseases might be underdiagnosed in Japan. Japanese spotted fever scrub typhus tsutsugamushi disease Orientia tsutsugamushi Rickettsia japonica Rickettsia Medicine R Infectious and parasitic diseases Motoi Suzuki verfasserin aut Shungo Katoh verfasserin aut Hiromi Fujita verfasserin aut Masakatsu Taira verfasserin aut Makito Yaegashi verfasserin aut Koya Ariyoshi verfasserin aut In Emerging Infectious Diseases Centers for Disease Control and Prevention, 2003 24(2018), 9, Seite 1633-1641 (DE-627)320436217 (DE-600)2004375-2 10806059 nnns volume:24 year:2018 number:9 pages:1633-1641 https://doi.org/10.3201/eid2409.171436 kostenfrei https://doaj.org/article/74588e498b98494b9297eecea241d772 kostenfrei https://wwwnc.cdc.gov/eid/article/24/9/17-1436_article kostenfrei https://doaj.org/toc/1080-6040 Journal toc kostenfrei https://doaj.org/toc/1080-6059 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_252 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 24 2018 9 1633-1641
spelling	10.3201/eid2409.171436 doi (DE-627)DOAJ059438584 (DE-599)DOAJ74588e498b98494b9297eecea241d772 DE-627 ger DE-627 rakwb eng RC109-216 Eiichiro Sando verfasserin aut Distinguishing Japanese Spotted Fever and Scrub Typhus, Central Japan, 2004– 2015 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Japanese spotted fever (JSF) and scrub typhus (ST) are endemic to Japan and share similar clinical features. To document the clinical and epidemiologic characteristics that distinguish these 2 rickettsial diseases, during 2004–2015 we recruited 31 JSF patients, 188 ST patients, and 97 nonrickettsial disease patients from the southern Boso Peninsula of Japan. JSF occurred during April–October and ST during November–December. Patients with JSF and ST were significantly older and more likely to reside in wooded areas than were patients with nonrickettsial diseases. Spatial analyses revealed that JSF and ST clusters rarely overlapped. Clinical findings more frequently observed in JSF than in ST patients were purpura, palmar/plantar rash, hyponatremia, organ damage, and delayed defervescence after treatment. Although their clinical features are similar, JSF and ST differ in seasonality, geographic distribution, physical signs, and severity. Because a considerable percentage of patients did not notice rash and eschar, many rickettsial diseases might be underdiagnosed in Japan. Japanese spotted fever scrub typhus tsutsugamushi disease Orientia tsutsugamushi Rickettsia japonica Rickettsia Medicine R Infectious and parasitic diseases Motoi Suzuki verfasserin aut Shungo Katoh verfasserin aut Hiromi Fujita verfasserin aut Masakatsu Taira verfasserin aut Makito Yaegashi verfasserin aut Koya Ariyoshi verfasserin aut In Emerging Infectious Diseases Centers for Disease Control and Prevention, 2003 24(2018), 9, Seite 1633-1641 (DE-627)320436217 (DE-600)2004375-2 10806059 nnns volume:24 year:2018 number:9 pages:1633-1641 https://doi.org/10.3201/eid2409.171436 kostenfrei https://doaj.org/article/74588e498b98494b9297eecea241d772 kostenfrei https://wwwnc.cdc.gov/eid/article/24/9/17-1436_article kostenfrei https://doaj.org/toc/1080-6040 Journal toc kostenfrei https://doaj.org/toc/1080-6059 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_252 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 24 2018 9 1633-1641
allfields_unstemmed	10.3201/eid2409.171436 doi (DE-627)DOAJ059438584 (DE-599)DOAJ74588e498b98494b9297eecea241d772 DE-627 ger DE-627 rakwb eng RC109-216 Eiichiro Sando verfasserin aut Distinguishing Japanese Spotted Fever and Scrub Typhus, Central Japan, 2004– 2015 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Japanese spotted fever (JSF) and scrub typhus (ST) are endemic to Japan and share similar clinical features. To document the clinical and epidemiologic characteristics that distinguish these 2 rickettsial diseases, during 2004–2015 we recruited 31 JSF patients, 188 ST patients, and 97 nonrickettsial disease patients from the southern Boso Peninsula of Japan. JSF occurred during April–October and ST during November–December. Patients with JSF and ST were significantly older and more likely to reside in wooded areas than were patients with nonrickettsial diseases. Spatial analyses revealed that JSF and ST clusters rarely overlapped. Clinical findings more frequently observed in JSF than in ST patients were purpura, palmar/plantar rash, hyponatremia, organ damage, and delayed defervescence after treatment. Although their clinical features are similar, JSF and ST differ in seasonality, geographic distribution, physical signs, and severity. Because a considerable percentage of patients did not notice rash and eschar, many rickettsial diseases might be underdiagnosed in Japan. Japanese spotted fever scrub typhus tsutsugamushi disease Orientia tsutsugamushi Rickettsia japonica Rickettsia Medicine R Infectious and parasitic diseases Motoi Suzuki verfasserin aut Shungo Katoh verfasserin aut Hiromi Fujita verfasserin aut Masakatsu Taira verfasserin aut Makito Yaegashi verfasserin aut Koya Ariyoshi verfasserin aut In Emerging Infectious Diseases Centers for Disease Control and Prevention, 2003 24(2018), 9, Seite 1633-1641 (DE-627)320436217 (DE-600)2004375-2 10806059 nnns volume:24 year:2018 number:9 pages:1633-1641 https://doi.org/10.3201/eid2409.171436 kostenfrei https://doaj.org/article/74588e498b98494b9297eecea241d772 kostenfrei https://wwwnc.cdc.gov/eid/article/24/9/17-1436_article kostenfrei https://doaj.org/toc/1080-6040 Journal toc kostenfrei https://doaj.org/toc/1080-6059 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_252 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 24 2018 9 1633-1641
allfieldsGer	10.3201/eid2409.171436 doi (DE-627)DOAJ059438584 (DE-599)DOAJ74588e498b98494b9297eecea241d772 DE-627 ger DE-627 rakwb eng RC109-216 Eiichiro Sando verfasserin aut Distinguishing Japanese Spotted Fever and Scrub Typhus, Central Japan, 2004– 2015 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Japanese spotted fever (JSF) and scrub typhus (ST) are endemic to Japan and share similar clinical features. To document the clinical and epidemiologic characteristics that distinguish these 2 rickettsial diseases, during 2004–2015 we recruited 31 JSF patients, 188 ST patients, and 97 nonrickettsial disease patients from the southern Boso Peninsula of Japan. JSF occurred during April–October and ST during November–December. Patients with JSF and ST were significantly older and more likely to reside in wooded areas than were patients with nonrickettsial diseases. Spatial analyses revealed that JSF and ST clusters rarely overlapped. Clinical findings more frequently observed in JSF than in ST patients were purpura, palmar/plantar rash, hyponatremia, organ damage, and delayed defervescence after treatment. Although their clinical features are similar, JSF and ST differ in seasonality, geographic distribution, physical signs, and severity. Because a considerable percentage of patients did not notice rash and eschar, many rickettsial diseases might be underdiagnosed in Japan. Japanese spotted fever scrub typhus tsutsugamushi disease Orientia tsutsugamushi Rickettsia japonica Rickettsia Medicine R Infectious and parasitic diseases Motoi Suzuki verfasserin aut Shungo Katoh verfasserin aut Hiromi Fujita verfasserin aut Masakatsu Taira verfasserin aut Makito Yaegashi verfasserin aut Koya Ariyoshi verfasserin aut In Emerging Infectious Diseases Centers for Disease Control and Prevention, 2003 24(2018), 9, Seite 1633-1641 (DE-627)320436217 (DE-600)2004375-2 10806059 nnns volume:24 year:2018 number:9 pages:1633-1641 https://doi.org/10.3201/eid2409.171436 kostenfrei https://doaj.org/article/74588e498b98494b9297eecea241d772 kostenfrei https://wwwnc.cdc.gov/eid/article/24/9/17-1436_article kostenfrei https://doaj.org/toc/1080-6040 Journal toc kostenfrei https://doaj.org/toc/1080-6059 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_252 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 24 2018 9 1633-1641
allfieldsSound	10.3201/eid2409.171436 doi (DE-627)DOAJ059438584 (DE-599)DOAJ74588e498b98494b9297eecea241d772 DE-627 ger DE-627 rakwb eng RC109-216 Eiichiro Sando verfasserin aut Distinguishing Japanese Spotted Fever and Scrub Typhus, Central Japan, 2004– 2015 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Japanese spotted fever (JSF) and scrub typhus (ST) are endemic to Japan and share similar clinical features. To document the clinical and epidemiologic characteristics that distinguish these 2 rickettsial diseases, during 2004–2015 we recruited 31 JSF patients, 188 ST patients, and 97 nonrickettsial disease patients from the southern Boso Peninsula of Japan. JSF occurred during April–October and ST during November–December. Patients with JSF and ST were significantly older and more likely to reside in wooded areas than were patients with nonrickettsial diseases. Spatial analyses revealed that JSF and ST clusters rarely overlapped. Clinical findings more frequently observed in JSF than in ST patients were purpura, palmar/plantar rash, hyponatremia, organ damage, and delayed defervescence after treatment. Although their clinical features are similar, JSF and ST differ in seasonality, geographic distribution, physical signs, and severity. Because a considerable percentage of patients did not notice rash and eschar, many rickettsial diseases might be underdiagnosed in Japan. Japanese spotted fever scrub typhus tsutsugamushi disease Orientia tsutsugamushi Rickettsia japonica Rickettsia Medicine R Infectious and parasitic diseases Motoi Suzuki verfasserin aut Shungo Katoh verfasserin aut Hiromi Fujita verfasserin aut Masakatsu Taira verfasserin aut Makito Yaegashi verfasserin aut Koya Ariyoshi verfasserin aut In Emerging Infectious Diseases Centers for Disease Control and Prevention, 2003 24(2018), 9, Seite 1633-1641 (DE-627)320436217 (DE-600)2004375-2 10806059 nnns volume:24 year:2018 number:9 pages:1633-1641 https://doi.org/10.3201/eid2409.171436 kostenfrei https://doaj.org/article/74588e498b98494b9297eecea241d772 kostenfrei https://wwwnc.cdc.gov/eid/article/24/9/17-1436_article kostenfrei https://doaj.org/toc/1080-6040 Journal toc kostenfrei https://doaj.org/toc/1080-6059 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_252 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 24 2018 9 1633-1641
language	English
source	In Emerging Infectious Diseases 24(2018), 9, Seite 1633-1641 volume:24 year:2018 number:9 pages:1633-1641
sourceStr	In Emerging Infectious Diseases 24(2018), 9, Seite 1633-1641 volume:24 year:2018 number:9 pages:1633-1641
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Japanese spotted fever scrub typhus tsutsugamushi disease Orientia tsutsugamushi Rickettsia japonica Rickettsia Medicine R Infectious and parasitic diseases
isfreeaccess_bool	true
container_title	Emerging Infectious Diseases
authorswithroles_txt_mv	Eiichiro Sando @@aut@@ Motoi Suzuki @@aut@@ Shungo Katoh @@aut@@ Hiromi Fujita @@aut@@ Masakatsu Taira @@aut@@ Makito Yaegashi @@aut@@ Koya Ariyoshi @@aut@@
publishDateDaySort_date	2018-01-01T00:00:00Z
hierarchy_top_id	320436217
id	DOAJ059438584
language_de	englisch
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callnumber-first	R - Medicine
author	Eiichiro Sando
spellingShingle	Eiichiro Sando misc RC109-216 misc Japanese spotted fever misc scrub typhus misc tsutsugamushi disease misc Orientia tsutsugamushi misc Rickettsia japonica misc Rickettsia misc Medicine misc R misc Infectious and parasitic diseases Distinguishing Japanese Spotted Fever and Scrub Typhus, Central Japan, 2004– 2015
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topic_title	RC109-216 Distinguishing Japanese Spotted Fever and Scrub Typhus, Central Japan, 2004– 2015 Japanese spotted fever scrub typhus tsutsugamushi disease Orientia tsutsugamushi Rickettsia japonica Rickettsia
topic	misc RC109-216 misc Japanese spotted fever misc scrub typhus misc tsutsugamushi disease misc Orientia tsutsugamushi misc Rickettsia japonica misc Rickettsia misc Medicine misc R misc Infectious and parasitic diseases
topic_unstemmed	misc RC109-216 misc Japanese spotted fever misc scrub typhus misc tsutsugamushi disease misc Orientia tsutsugamushi misc Rickettsia japonica misc Rickettsia misc Medicine misc R misc Infectious and parasitic diseases
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title	Distinguishing Japanese Spotted Fever and Scrub Typhus, Central Japan, 2004– 2015
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title_full	Distinguishing Japanese Spotted Fever and Scrub Typhus, Central Japan, 2004– 2015
author_sort	Eiichiro Sando
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author_browse	Eiichiro Sando Motoi Suzuki Shungo Katoh Hiromi Fujita Masakatsu Taira Makito Yaegashi Koya Ariyoshi
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title_sort	distinguishing japanese spotted fever and scrub typhus, central japan, 2004– 2015
callnumber	RC109-216
title_auth	Distinguishing Japanese Spotted Fever and Scrub Typhus, Central Japan, 2004– 2015
abstract	Japanese spotted fever (JSF) and scrub typhus (ST) are endemic to Japan and share similar clinical features. To document the clinical and epidemiologic characteristics that distinguish these 2 rickettsial diseases, during 2004–2015 we recruited 31 JSF patients, 188 ST patients, and 97 nonrickettsial disease patients from the southern Boso Peninsula of Japan. JSF occurred during April–October and ST during November–December. Patients with JSF and ST were significantly older and more likely to reside in wooded areas than were patients with nonrickettsial diseases. Spatial analyses revealed that JSF and ST clusters rarely overlapped. Clinical findings more frequently observed in JSF than in ST patients were purpura, palmar/plantar rash, hyponatremia, organ damage, and delayed defervescence after treatment. Although their clinical features are similar, JSF and ST differ in seasonality, geographic distribution, physical signs, and severity. Because a considerable percentage of patients did not notice rash and eschar, many rickettsial diseases might be underdiagnosed in Japan.
abstractGer	Japanese spotted fever (JSF) and scrub typhus (ST) are endemic to Japan and share similar clinical features. To document the clinical and epidemiologic characteristics that distinguish these 2 rickettsial diseases, during 2004–2015 we recruited 31 JSF patients, 188 ST patients, and 97 nonrickettsial disease patients from the southern Boso Peninsula of Japan. JSF occurred during April–October and ST during November–December. Patients with JSF and ST were significantly older and more likely to reside in wooded areas than were patients with nonrickettsial diseases. Spatial analyses revealed that JSF and ST clusters rarely overlapped. Clinical findings more frequently observed in JSF than in ST patients were purpura, palmar/plantar rash, hyponatremia, organ damage, and delayed defervescence after treatment. Although their clinical features are similar, JSF and ST differ in seasonality, geographic distribution, physical signs, and severity. Because a considerable percentage of patients did not notice rash and eschar, many rickettsial diseases might be underdiagnosed in Japan.
abstract_unstemmed	Japanese spotted fever (JSF) and scrub typhus (ST) are endemic to Japan and share similar clinical features. To document the clinical and epidemiologic characteristics that distinguish these 2 rickettsial diseases, during 2004–2015 we recruited 31 JSF patients, 188 ST patients, and 97 nonrickettsial disease patients from the southern Boso Peninsula of Japan. JSF occurred during April–October and ST during November–December. Patients with JSF and ST were significantly older and more likely to reside in wooded areas than were patients with nonrickettsial diseases. Spatial analyses revealed that JSF and ST clusters rarely overlapped. Clinical findings more frequently observed in JSF than in ST patients were purpura, palmar/plantar rash, hyponatremia, organ damage, and delayed defervescence after treatment. Although their clinical features are similar, JSF and ST differ in seasonality, geographic distribution, physical signs, and severity. Because a considerable percentage of patients did not notice rash and eschar, many rickettsial diseases might be underdiagnosed in Japan.
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title_short	Distinguishing Japanese Spotted Fever and Scrub Typhus, Central Japan, 2004– 2015
url	https://doi.org/10.3201/eid2409.171436 https://doaj.org/article/74588e498b98494b9297eecea241d772 https://wwwnc.cdc.gov/eid/article/24/9/17-1436_article https://doaj.org/toc/1080-6040 https://doaj.org/toc/1080-6059
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author2	Motoi Suzuki Shungo Katoh Hiromi Fujita Masakatsu Taira Makito Yaegashi Koya Ariyoshi
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score	7.3993683

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Distinguishing Japanese Spotted Fever and Scrub Typhus, Central Japan, 2004– 2015

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Zugang & Verfügbarkeit

Vorhandene Bände

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