Evidence map›Paper›PMID 30274426›Full record

ArticleTropical medicine and infectious disease2018

Spotted Fever Rickettsiosis in a Wildlife Researcher in Sabah, Malaysia: A Case Study.

Milena Salgado Lynn, Timothy William, Ampai Tanganuchitcharnchai, Suthatip Jintaworn, Janjira Thaipadungpanit, Mei Ho Lee, Cyrlen Jalius, Peter Daszak, Benoît Goossens, Tom Hughes and 1 more

Open access · goldAbstract read
In one paragraph

Article in Tropical medicine and infectious disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.7field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
  2. Rickettsioses Seropositivity in Malaysia: A Six-Year Trend, 2016-2021.Tropical medicine and infectious disease · 2025
    Article
  3. Rickettsiosis Infections in Sarawak: Epidemiological Insights and Public Health Strategies.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2025
    Review
  4. Review
  5. Review
  6. Diagnosis of spotted fever groupEpidemiology and infection · 2019
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 4 countries.

Milena Salgado LynnDanau Girang Field Centre, c/o Sabah Wildlife Department, Sandakan 90009, Sabah, Malaysia. Salgado-LynnM@cardiff.ac.uk.
Timothy WilliamJesselton Medical Centre, Kota Kinabalu, Sabah 88300, Malaysia. tim7008@gmail.com.ORCID 0000-0002-2195-6736
Ampai TanganuchitcharnchaiCentre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Churchill Hospital, Oxford OX3 7FZ, UK. ampai@tropmedres.ac.
Suthatip JintawornMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok 10400, Thailand. suthatip@tropmedres.ac.
Janjira ThaipadungpanitMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok 10400, Thailand. Janjira@tropmedres.ac.
Mei Ho LeeEcoHealth Alliance, New York, NY 10001-2320, USA. Lee@ecohealthalliance.org.
Cyrlen JaliusDanau Girang Field Centre, c/o Sabah Wildlife Department, Sandakan 90009, Sabah, Malaysia. fielondra1988@gmail.com.
Peter DaszakEcoHealth Alliance, New York, NY 10001-2320, USA. daszak@ecohealthalliance.org.ORCID 0000-0002-2046-5695
Benoît GoossensDanau Girang Field Centre, c/o Sabah Wildlife Department, Sandakan 90009, Sabah, Malaysia. GoossensBR@cardiff.ac.uk.
Tom HughesEcoHealth Alliance, New York, NY 10001-2320, USA. tom.hughes@ecohealthalliance.org.
Stuart D BlacksellCentre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Churchill Hospital, Oxford OX3 7FZ, UK. stuart@tropmedres.ac.ORCID 0000-0001-6576-726X
EcoHealth Alliance · USMahidol University · THSabah Wildlife Department · MYChurchill Hospital · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

We present evidence for a case of spotted fever rickettsiosis with severe complications in a young adult male. Although spotted fever group rickettsiae (SFGR) have been reported as the most prevalent cause of rickettsiosis in rural areas of Sabah, Malaysia since the 1980s, this is the first detailed case report of suspected SFGR in the state. Current data on the prevalence, type, and thorough clinical reports on complications of SFGR and other rickettsioses in Sabah is lacking and required to raise the awareness of such diseases. There is a need to emphasize the screening of rickettsioses to medical personnel and to encourage the use of appropriate antibiotics as early treatment for nonspecific febrile illnesses in this region. Suspected rickettsioses need to be considered as one of the differential diagnoses for patients presenting with acute febrile illness for laboratory investigations, and early treatment instituted.

Indexed as

diagnosisMalaysiarickettsiae

Identifiers

PMID30274426
PMCPMC6136627
OpenAlexW2793098142

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.