Prevalence and clinical presentation of Rickettsia, Coxiella, Leptospira, Bartonella and chikungunya virus infections among hospital-based febrile patients from December 2008 to November 2009 in Bangladesh

Faruque, Labib Imran; Zaman, Rashid Uz; Gurley, Emily S.; Massung, Robert F.; Alamgir, A. S. M.; Galloway, Renee L.; Powers, Ann M.; Bai, Ying; Kosoy, Michael; Nicholson, William L.; Rahman, Mahmudur; Luby, Stephen P.

doi:10.1186/s12879-017-2239-6

Table 4 Clinical presentation and outcome*

From: Prevalence and clinical presentation of Rickettsia, Coxiella, Leptospira, Bartonella and chikungunya virus infections among hospital-based febrile patients from December 2008 to November 2009 in Bangladesh

	Rickettsia (N = 263)			Coxiella burnetii (N = 10)	Leptospira (N = 2)	Chikungunya (N = 10)	Bartonella (N = 1)
	Typhus group Rickettsia (N = 10)	Spotted fever group Rickettsia (N = 132)	Scrub typhus group Rickettsia (N = 170)	Coxiella burnetii (N = 10)	Leptospira (N = 2)	Chikungunya (N = 10)	Bartonella (N = 1)
Symptoms
Fever	10 (100)	132 (100)	170 (100)	10 (100)	2 (100)	10 (100)	1 (100)
Headache	7 (70)	66 (50)	117 (69)	5 (50)	1 (50)	3 (30)	0
Bodyache	3 (30)	54 (41)	84 (49)	4 (40)	0	2 (20)	0
Muscle pain	0	23 (17)	38 (22)	0	0	0	0
Joint pain	0	19 (14)	46 (27)	0	0	10 (100)	0
Rash	0	1 (1)	2 (1)	0	0	0	0
Bleeding	0	2 (2)	2 (1)	0	0	0	0
Retro-orbital pain	0	5 (4)	13 (8)	0	0	0	0
Eye-redness	0	5 (4)	5 (3)	0	0	0	0
Jaundice	0	4 (3)	8 (5)	2 (20)	0	0	0
Neck stiffness	0	2 (2)	4 (2)	0	0	0	0
Low urinary output	0	5 (4)	3 (2)	0	0	1 (10)	0
Physical findings
Mean Pulse rate	101 ± 19	100 ± 21	92 ± 21	96 ± 19	100 ± 0	95 ± 19	130 ± 0
Mean Respiratory rate	20 ± 6	26 ± 12	23 ± 11	22 ± 9	28 ± 3	26 ± 7	26 ± 0
Mean Systolic BP	115 ± 16	108 ± 17	110 ± 19	101 ± 12	110 ± 14	103 ± 11	110 ± 0
Mean Diastolic BP	74 ± 8	71 ± 10	71 ± 12	63 ± 9	60 ± 0	68 ± 9	60 ± 0
Mean Temperature	99.7 ± 1.5	100.2 ± 1.7	100.1 ± 1.5	100.1 ± 1.3	102.5 ± 2.1	99.8 ± 0.6	99 ± 0
Anemia	1 (10)	21 (16)	34 (20)	3 (30)	0	2 (20)	0
Jaundice	0	3 (2)	6 (4)	1 (10)	1 (50)	0	0
Edema	0	4 (3)	6 (4)	0	0	0	0
Rash	0	2 (2)	2 (1)	0	0	0	0
Neck rigidity	0	2 (2)	5 (3)	0	0	0	0
Dehydration	0	13 (10)	23 (14)	2 (20)	0	0	0
Laboratory findings
Mean WBC count	8000 ± 1732	12656 ± 9544	10570 ± 3148	11225 ± 6352	10850 ± 3889	-	-
Mean Neutrophil percent	63 ± 8	68 ± 14	66 ± 15	67 ± 12	71 ± 21	-	-
Mean Platelet count	-	228733 ± 132686	279455 ± 136035	226500 ± 37477	185000 ± 0	-	-
Mean ESR	42 ± 20	40 ± 20	48 ± 29	34 ± 10	58 ± 3	28 ± 0	-
Outcome [N = 557]†	(N = 5)	(N = 94)	(N = 130)	(N = 8)	(N = 1)	(N = 6)	(N = 1)
Recovery‡	5 (100)	59 (63)	76 (58)	6 (75)	1 (100)	3 (50)	1 (100)
Death	0	5 (5)	7 (5)	2 (25)	0	0	0
Mean recovery days§	11 ± 7	17 ± 12	18 ± 10	16 ± 12	18 ± 0	28 ± 9	16 ± 0
Similar Concurrent illness in the family member	0	11 (12)	8 (6)	0	0	2 (33)	0

* Values are n (%) unless otherwise indicated; Mean is reported along with ± Standard deviation
† We could follow up 5 out of 10 typhus group, 94 out of 132 spotted fever, 130 out of 170 scrub typhus group, 8 out of 10 Coxiella burnetii cases and 1 out of 2 leptospirosis, 6 out of 10 Chikungunya and one bartonellosis patients. The remaining patients were not accessible or available on phone follow-up
‡ Recovery is defined as presence of no signs or symptoms of illness or any disability
§ The mean recovery days along with SD indicates how long it took time for the febrile patients to recover from the illnesses

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