id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-025155-ow3r3469	Lokida, Dewi	Underdiagnoses of Rickettsia in patients hospitalized with acute fever in Indonesia: observational study results	2020-05-24		.txt	text/plain	4430	271	44	title: Underdiagnoses of Rickettsia in patients hospitalized with acute fever in Indonesia: observational study results METHODS: Acute and convalescent blood from 975 hospitalized non-dengue patients was tested for Rickettsia IgM and IgG by ELISA. For the 103/975 (10.6%) non-dengue patients diagnosed with acute rickettsial infection, presenting symptoms included nausea (72%), headache (69%), vomiting (43%), lethargy (33%), anorexia (32%), arthralgia (30%), myalgia (28%), chills (28%), epigastric pain (28%), and rash (17%). Clinicians should include rickettsioses in their differential diagnosis of fever to guide empiric management; laboratories should support evaluation for rickettsial etiologies; and public policy should be implemented to reduce burden of disease. To characterize the epidemiology of rickettsioses in Indonesia, we performed Rickettsia diagnostic panels on blood from subjects in the Acute Fever Requiring Hospitalization (AFIRE) study [13] . Patients found to have rickettsial infection by reference laboratory testing were identified from INA-RESPOND's [14] AFIRE observational cohort study conducted in Indonesia from 2013 to 2016.	./cache/cord-025155-ow3r3469.txt	./txt/cord-025155-ow3r3469.txt