Document Detail

Brazilian spotted fever: a case series from an endemic area in southeastern Brazil: clinical aspects.
MedLine Citation:
PMID:  17114716     Owner:  NLM     Status:  MEDLINE    
This case series study is based on a retrospective review of medical records and case notification files of patients admitted to The Hospital das Clínicas da UNICAMP from 1985 to 2003 with a confirmed diagnosis of BSF either by fourfold rise in indirect immunofluorescence assay (IFA) titers of IgG antibodies reactive with R. rickettsii or isolation of R. rickettsii from blood or skin specimens. A median lethality of 41.9 % was observed between 1985 and 2004. The case-fatality ratio of 30 % in our study, lower than the overall São Paulo state ratio, could be explained by a higher index of suspicion and a larger experience in our hospital, a regional referral center for BSF. The presence of the classical triad of fever, rash, and headache as described in RMSF was observed in fever than half (35.2%) of our patients.
Rodrigo N Angerami; Mariângela R Resende; Adriana F C Feltrin; Gizelda Katz; Elvira M Nascimento; Raquel S B Stucchi; Luiz J Silva
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of the New York Academy of Sciences     Volume:  1078     ISSN:  0077-8923     ISO Abbreviation:  Ann. N. Y. Acad. Sci.     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-11-20     Completed Date:  2007-01-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7506858     Medline TA:  Ann N Y Acad Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  252-4     Citation Subset:  IM    
Universidade Estadual de Campinas (UNICAMP), Campinas, São Paulo, Brazil.
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MeSH Terms
Brazil / epidemiology
Medical Records
Retrospective Studies
Rickettsia Infections / diagnosis,  epidemiology*,  mortality
Survival Analysis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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