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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)
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
  1. * Values are n (%) unless otherwise indicated; Mean is reported along with ± Standard deviation
  2. † 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
  3. ‡ Recovery is defined as presence of no signs or symptoms of illness or any disability
  4. § The mean recovery days along with SD indicates how long it took time for the febrile patients to recover from the illnesses