Undifferentiated tropical febrile illness in Cordoba, Colombia: Not everything is dengue
Summary: In Colombia, undifferentiated tropical febrile illness (UTFI) are frequent and of considerable concern. They also share many clinical features. Between 2012 and 2013 in an endemic tropical area of Cordoba, Colombia, we conducted a prospective study to establish an etiological diagnosis of U...
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doaj-0332a6a3318142fcbb560c0b998201cb2020-11-25T01:22:37ZengElsevierJournal of Infection and Public Health1876-03412017-09-01105507512Undifferentiated tropical febrile illness in Cordoba, Colombia: Not everything is dengueSalim Mattar0Vaneza Tique1Jorge Miranda2Eney Montes3Denisses Garzon4University of Cordoba, Montería, Córdoba, Colombia; Corresponding author at: University of Cordoba, Tropical Biological Research, Monteria, Cordoba, Colombia.University of Cordoba, Montería, Córdoba, ColombiaUniversity of Cordoba, Montería, Córdoba, ColombiaHospital San Jerónimo de Montería, Córdoba, ColombiaUniversity of Cordoba, Montería, Córdoba, ColombiaSummary: In Colombia, undifferentiated tropical febrile illness (UTFI) are frequent and of considerable concern. They also share many clinical features. Between 2012 and 2013 in an endemic tropical area of Cordoba, Colombia, we conducted a prospective study to establish an etiological diagnosis of UTFI. Using diagnostic tests for dengue, leptospirosis, hantavirus, malaria, rickettsia, brucellosis, hepatitis A and B on 100 patients recruited for the study. We identified 69 patients with presumed UTFI: leptospirosis (n = 27), dengue (n = 26), hantavirus infection (n = 4), malaria (n = 4), rickettsial infection (n = 2), hepatitis A (n = 1), and brucellosis (n = 1); no hepatitis B cases were detected. Co-infections with malaria and leptospirosis (n = 1), hepatitis A and dengue (n = 1), hantavirus and dengue (n = 1), hantavirus, dengue, and leptospirosis (n = 1) were also identified. No etiologic agent was identified for 31 patients. We conclude that other etiologic agents besides dengue virus deserve greater attention by physicians and public health authorities in tropical area of Colombia. Keywords: Leptospirosis, Hantaviruses, Malaria, Vector-borne diseases, Zoonotic diseaseshttp://www.sciencedirect.com/science/article/pii/S1876034116301538 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Salim Mattar Vaneza Tique Jorge Miranda Eney Montes Denisses Garzon |
spellingShingle |
Salim Mattar Vaneza Tique Jorge Miranda Eney Montes Denisses Garzon Undifferentiated tropical febrile illness in Cordoba, Colombia: Not everything is dengue Journal of Infection and Public Health |
author_facet |
Salim Mattar Vaneza Tique Jorge Miranda Eney Montes Denisses Garzon |
author_sort |
Salim Mattar |
title |
Undifferentiated tropical febrile illness in Cordoba, Colombia: Not everything is dengue |
title_short |
Undifferentiated tropical febrile illness in Cordoba, Colombia: Not everything is dengue |
title_full |
Undifferentiated tropical febrile illness in Cordoba, Colombia: Not everything is dengue |
title_fullStr |
Undifferentiated tropical febrile illness in Cordoba, Colombia: Not everything is dengue |
title_full_unstemmed |
Undifferentiated tropical febrile illness in Cordoba, Colombia: Not everything is dengue |
title_sort |
undifferentiated tropical febrile illness in cordoba, colombia: not everything is dengue |
publisher |
Elsevier |
series |
Journal of Infection and Public Health |
issn |
1876-0341 |
publishDate |
2017-09-01 |
description |
Summary: In Colombia, undifferentiated tropical febrile illness (UTFI) are frequent and of considerable concern. They also share many clinical features. Between 2012 and 2013 in an endemic tropical area of Cordoba, Colombia, we conducted a prospective study to establish an etiological diagnosis of UTFI. Using diagnostic tests for dengue, leptospirosis, hantavirus, malaria, rickettsia, brucellosis, hepatitis A and B on 100 patients recruited for the study. We identified 69 patients with presumed UTFI: leptospirosis (n = 27), dengue (n = 26), hantavirus infection (n = 4), malaria (n = 4), rickettsial infection (n = 2), hepatitis A (n = 1), and brucellosis (n = 1); no hepatitis B cases were detected. Co-infections with malaria and leptospirosis (n = 1), hepatitis A and dengue (n = 1), hantavirus and dengue (n = 1), hantavirus, dengue, and leptospirosis (n = 1) were also identified. No etiologic agent was identified for 31 patients. We conclude that other etiologic agents besides dengue virus deserve greater attention by physicians and public health authorities in tropical area of Colombia. Keywords: Leptospirosis, Hantaviruses, Malaria, Vector-borne diseases, Zoonotic diseases |
url |
http://www.sciencedirect.com/science/article/pii/S1876034116301538 |
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