1/8. Endemic babesiosis in another eastern state: new jersey.In the united states, most reported cases of babesiosis have been caused by babesia microti and acquired in the northeast. Although three cases of babesiosis acquired in new jersey were recently described by others, babesiosis has not been widely known to be endemic in new jersey. We describe a case of babesiosis acquired in new jersey in 1999 in an otherwise healthy 53-year-old woman who developed life-threatening disease. We also provide composite data on 40 cases of babesiosis acquired from 1993 through 2001 in new jersey. The 40 cases include the one we describe, the three cases previously described, and 36 other cases reported to public health agencies. The 40 cases were acquired in eight (38.1%) of the 21 counties in the state. babesiosis, a potentially serious zoonosis, is endemic in new jersey and should be considered in the differential diagnosis of patients with fever and hemolytic anemia, particularly in the spring, summer, and early fall.- - - - - - - - - - ranking = 1keywords = fever (Clic here for more details about this article) |
2/8. Reemerging leptospirosis, california.leptospirosis is a reemerging infectious disease in california. leptospirosis is the most widespread zoonosis throughout the world, though it is infrequently diagnosed in the continental united states. From 1982 to 2001, most reported california cases occurred in previously healthy young adult white men after recreational exposures to contaminated freshwater. We report five recent cases of human leptospirosis acquired in california, including the first documented common-source outbreak of human leptospirosis acquired in this state, and describe the subsequent environmental investigation. Salient features in the california cases include high fever with uniform renal impairment and mild hepatitis. Because leptospirosis can progress rapidly if untreated, this reemerging infection deserves consideration in febrile patients with a history of recreational freshwater exposure, even in states with a low reported incidence of infection.- - - - - - - - - - ranking = 1keywords = fever (Clic here for more details about this article) |
3/8. Case report: brucellosis: a re-emerging disease in thailand.brucellosis is a zoonotic disease prevalent in many countries, but it has been reported only once in thailand, 36 years ago. We describe here two consecutive cases of brucellosis in Bangkok, thailand. Both cases presented with prolonged fever and weight loss. blood cultures taken from 2 patients yielded brucella melitensis. The slide agglutination test of blood samples were also positive, with a titer of 1:64 for antibodies to Brucella. The first patient responded to a combination of doxycycline, gentamicin, and ciprofloxacin; the other responded to doxycycline and rifampicin. brucellosis is a potential public health threat, therefore, preventive measures should be actively implemented. This clinical syndrome should be included in the differential diagnosis of patients presenting with prolonged fever, particularly those with contact to animals which could serve as reservoirs.- - - - - - - - - - ranking = 2keywords = fever (Clic here for more details about this article) |
4/8. monkeypox: a review of the history and emergence in the Western hemisphere.A mysterious disease was reported on May 24, 2003, when the wisconsin Division of public health (DPH) received notice of a 3-year-old girl who had been hospitalized in central wisconsin with cellulites and fever after being bitten by a prairie dog on May 13. The laboratory isolated a gram-negative bacillus, raising concerns that it might be tularemia or plague; ultimately, it was identified as an acinetobacter species and was considered to be a contaminant. Because no other such cases were reported at the time, the case was thought to be merely an isolated event. However, within two weeks, on June 2, 2003, evidence of a much wider scenario began to emerge. On that date, the wisconsin DPH received notice from the Marshfield Laboratory that the mother of the first patient had become ill on May 26 and that electron-microscopic evidence of a poxvirus was found in a skin lesion. On that same day, another report, this time from the Milwaukee Health Department, of a strange illness was received at the DPH and described the case of a meat inspector who resided in southeastern wisconsin and also was a distributor of exotic animals. By July 30, 2003, 72 confirmed or suspected cases of monkeypox had been reported in wisconsin, illinois, and indiana and represented a large outbreak. The peak in the onset of illness occurred between May 29 and June 9, 2003, and no further cases of illness have been reported in humans since June 22, 2003. Traceback investigations from the child and other patients followed the route of introduction of monkeypox into wisconsin to a distributor in illinois, who had received a shipment of exotic animals imported into the united states through texas from ghana, West africa.- - - - - - - - - - ranking = 1keywords = fever (Clic here for more details about this article) |
5/8. The first reported case of spotted fever in Fukui Prefecture, the northern part of central japan.A 53-year-old man visited Mt. Arashima-dake in Fukui Prefecture, and was infested by a tick-like organism. He visited a local clinic on July 12, 2004, complaining of high fever, general fatigue and rash. After several days without definite diagnosis, he was admitted to the Fukui Prefectural Hospital, where he was treated with minocycline hydrochloride for 10 days until recovery. His clinical symptoms on admission were high fever (39.6 degrees C), erythematous eruption, eschar on the right upper arm, and regional lymphoadenopathy. The epidemiological status and some clinical findings strongly suggested spotted fever (SF), and SF was confirmed based on the finding that his sera were reactive only to antigens of the SF group rickettsiae in the indirect immunoperoxidase analysis. This case is the first official report of SF rickettsiosis in Fukui Prefecture, the northern part of central japan.- - - - - - - - - - ranking = 7keywords = fever (Clic here for more details about this article) |
6/8. Emerging acute chagas disease in Amazonian brazil: case reports with serious cardiac involvement.Four cases of serious cardiac attacks by autochthonous trypanosoma cruzi infection from the Brazilian Amazon are reported; three of them occurred in micro-epidemic episodes. The manifestations included sudden fever, myalgia, dyspnea and signs of heart failure. Diagnosis was confirmed by specific exams, especially QBC (Quantitative Buffy Coat) and natural xenodiagnosis. Despite treatment with benznidazol, three patients died with serious myocarditis, renal failure and cardiac tamponade. The authors call attention to the emergence of this disease and reveal a previously unknown pathogenicity of T. cruzi strains in this area, added to a non-usual transmission form.- - - - - - - - - - ranking = 1keywords = fever (Clic here for more details about this article) |
7/8. Acute hearing loss due to scrub typhus: a forgotten complication of a reemerging disease.We describe 6 patients with scrub typhus who presented with acute hearing loss, a forgotten complication of this reemerging disease. They were admitted with fever of 10-14 days' duration and had clinical evidence of deafness and pneumonitis. Five patients had eschars, which prompted the diagnosis of typhus fever and led to early institution of treatment. deafness has been described as a clue to the diagnosis of scrub typhus; awareness of this symptom facilitated early diagnosis in 4 of 5 patients who recovered. Acute hearing loss or hearing impairment in a febrile patient should arouse strong suspicion of scrub typhus.- - - - - - - - - - ranking = 2keywords = fever (Clic here for more details about this article) |
8/8. blastocystis hominis--an emerging and imitating cause of acute abdomen in children.Two children aged 12 and 11 years with a similar history of abdominal pain, nausea, vomiting and fever with abdominal tenderness, and muscle guarding at the right lower quadrant for few days were admitted to our hospital. They subsequently developed diarrhea but without clinical relief. Just before the decision of laparotomy, both patients were diagnosed as having blastocystis hominis infection with light microscopic examination of the stools and were treated uneventfully with the appropriate antibiotics.- - - - - - - - - - ranking = 1keywords = fever (Clic here for more details about this article) |