Abstract:
INTRODUCTION:Melioidosis can have multiple organ involvement which can then mimic other infections. The aim of this study was to determine if there are any factors significantly associated with melioidosis which can inform diagnostic evaluations before receiving the results of confirming laboratory testing. METHODOLOGY:The charts of patients aged < 16 years admitted to Songklanagarind Hospital during 2002-2014 with a clinical presentation suspicious of melioidosis were reviewed. RESULTS:Of the 145 suspected cases, 27 patients had a confirmed diagnosis of melioidosis by either serology and/or culture. The melioidosis group had a higher proportion of patients with liver or splenic abscess (44.4% vs. 11.9%, p < 0.01) and were less likely to have splenomegaly by physical examination (3.7% vs. 22.9%, p = 0.02) than patients without melioidosis. Logistic regression analysis found that patients suspected of melioidosis who had (a) hepatic abscess or (b) splenic abscess or (c) skin or soft tissue infection were more likely to have melioidosis with likelihood ratios of 5.6, 4.0, and 2.2 respectively, and specificities of 0.94, 0.89, and 0.68 respectively. Suspected patients who did not have hepatic abscess, splenic abscess, or soft tissue infection were unlikely to have melioidosis with negative predictive value of 0.90. CONCLUSION:patients who have clinically suspected melioidosis without skin or soft tissue infection should have hepatic-splenic ultrasonography performed, and suspected patients who have one of these 3 findings should be treated initially as melioidosis while waiting for culture or serologic test results.
journal_name
J Infect Dev Ctriesjournal_title
Journal of infection in developing countriesauthors
Chanvitan S,Geater A,Laoprasopwattana Kdoi
10.3855/jidc.10727subject
Has Abstractpub_date
2019-02-28 00:00:00pages
149-153issue
2eissn
2036-6590issn
1972-2680journal_volume
13pub_type
杂志文章abstract:INTRODUCTION:Acute respiratory infections (ARIs) are major causes of morbidity in early childhood. They are mainly caused by viruses, including influenza (INF) and respiratory syncytial viruses (RSV). We aimed to investigate the role of RSV and INF in children hospitalized for ARIs and to show the impact of RSV/INF rap...
journal_title:Journal of infection in developing countries
pub_type: 杂志文章
doi:10.3855/jidc.11386
更新日期:2019-05-16 00:00:00
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journal_title:Journal of infection in developing countries
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doi:10.3855/jidc.6963
更新日期:2016-08-02 00:00:00
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journal_title:Journal of infection in developing countries
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abstract:BACKGROUND:Many maternity hospitals in developing country settings deliver women who are of unknown HIV status. The main objectives of this study were to evaluate the acceptability of post-partum infant cord blood HIV testing and the subsequent uptake of interventions to prevent mother-to-child transmission of HIV. ME...
journal_title:Journal of infection in developing countries
pub_type: 杂志文章
doi:
更新日期:2007-12-01 00:00:00
abstract:BACKGROUND:This study determines the prevalence and antibiotic resistance of Salmonella serovars from humans and chickens in Ibadan, Nigeria, in 2004-2007. METHODOLOGY:A total of 991 blood samples were collected from patients in 2004 to 2005 and 641 fecal samples were collected from poultry farms in 2007. All Salmonel...
journal_title:Journal of infection in developing countries
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journal_title:Journal of infection in developing countries
pub_type: 杂志文章
doi:10.3855/jidc.1609
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journal_title:Journal of infection in developing countries
pub_type: 杂志文章
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journal_title:Journal of infection in developing countries
pub_type: 杂志文章
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journal_title:Journal of infection in developing countries
pub_type: 杂志文章
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journal_title:Journal of infection in developing countries
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journal_title:Journal of infection in developing countries
pub_type: 杂志文章
doi:10.3855/jidc.2757
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journal_title:Journal of infection in developing countries
pub_type: 杂志文章
doi:10.3855/jidc.9711
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journal_title:Journal of infection in developing countries
pub_type: 杂志文章
doi:10.3855/jidc.2339
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journal_title:Journal of infection in developing countries
pub_type: 杂志文章
doi:10.3855/jidc.6118
更新日期:2016-06-30 00:00:00
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journal_title:Journal of infection in developing countries
pub_type: 杂志文章
doi:10.3855/jidc.7912
更新日期:2016-10-31 00:00:00
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journal_title:Journal of infection in developing countries
pub_type: 杂志文章
doi:10.3855/jidc.194
更新日期:2008-10-01 00:00:00
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journal_title:Journal of infection in developing countries
pub_type: 杂志文章,评审
doi:10.3855/jidc.158
更新日期:2008-12-01 00:00:00
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journal_title:Journal of infection in developing countries
pub_type: 杂志文章
doi:10.3855/jidc.10018
更新日期:2018-10-31 00:00:00
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journal_title:Journal of infection in developing countries
pub_type: 杂志文章
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更新日期:2018-02-28 00:00:00
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journal_title:Journal of infection in developing countries
pub_type: 杂志文章
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journal_title:Journal of infection in developing countries
pub_type: 杂志文章
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更新日期:2018-02-22 00:00:00
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journal_title:Journal of infection in developing countries
pub_type: 杂志文章
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更新日期:2017-01-30 00:00:00
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journal_title:Journal of infection in developing countries
pub_type: 杂志文章
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更新日期:2020-11-30 00:00:00
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journal_title:Journal of infection in developing countries
pub_type: 杂志文章
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journal_title:Journal of infection in developing countries
pub_type: 杂志文章
doi:10.3855/jidc.1212
更新日期:2011-04-26 00:00:00
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journal_title:Journal of infection in developing countries
pub_type: 杂志文章
doi:10.3855/jidc.116
更新日期:2010-03-08 00:00:00
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journal_title:Journal of infection in developing countries
pub_type: 杂志文章
doi:10.3855/jidc.549
更新日期:2009-09-15 00:00:00
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journal_title:Journal of infection in developing countries
pub_type: 杂志文章
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更新日期:2014-12-15 00:00:00
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journal_title:Journal of infection in developing countries
pub_type: 杂志文章
doi:10.3855/jidc.3746
更新日期:2014-07-14 00:00:00
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journal_title:Journal of infection in developing countries
pub_type: 杂志文章
doi:10.3855/jidc.728
更新日期:2010-10-28 00:00:00