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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Main Authors: Salim Mattar, Vaneza Tique, Jorge Miranda, Eney Montes, Denisses Garzon
Format: Article
Language:English
Published: Elsevier 2017-09-01
Series:Journal of Infection and Public Health
Online Access:http://www.sciencedirect.com/science/article/pii/S1876034116301538
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spelling 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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