FEBRILE ILLNESS IN MALAYSIA - AN ANALYSIS OF 1,629 HOSPITALIZED-PATIENTS

被引:69
作者
BROWN, GW [1 ]
SHIRAI, A [1 ]
JEGATHESAN, M [1 ]
BURKE, DS [1 ]
TWARTZ, JC [1 ]
SAUNDERS, JP [1 ]
HUXSOLL, DL [1 ]
机构
[1] USA, MED COMPONET, MED SCI RES INST, BANGKOK, THAILAND
关键词
D O I
10.4269/ajtmh.1984.33.311
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Febrile patients (1629) from a rural area of Malaysia were studied; laboratory diagnosis was made in 1025 (62.9%) cases. Scrub typhus was the most frequent diagnosis (19.3% of all illnesses) followed by typhoid and paratyphoid (7.4%); flavivirus infection (7.0%); leptospirosis (6.8%); and malaria (6.2%). The hospital mortality was very low (0.5% of all febrile patients). The high prevalence of scrub typhus in oil palm laborers (46.8% of all febrile illnesses in that group) was confirmed. In rural Malaysia, therapy with chloramphenicol or a tetracycline would be appropriate for undiagnosed patients in whom malaria has been excluded. Failure to respond to tetracycline within 48 h would usually suggest a diagnosis of typhoid and indicate the need for a change in therapy.
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页码:311 / 315
页数:5
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