Evidence map›Paper›PMID 30983796›Full record

ArticleJournal of laboratory physicians

Serological evidence of human leptospirosis in patients with acute undifferentiated febrile illness from Uttarakhand, India: A pilot study.

Mohit Bhatia, Pradeep Kumar, Pratima Gupta, Puneet Kumar Gupta, Minakshi Dhar, Deepjyoti Kalita

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Article in Journal of laboratory physicians. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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2 · The registry

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Mohit BhatiaDepartment of Microbiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Pradeep KumarDepartment of Microbiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Pratima GuptaDepartment of Microbiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Puneet Kumar GuptaDepartment of Microbiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Minakshi DharDepartment of Microbiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Deepjyoti KalitaDepartment of Microbiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextTo the best of our knowledge, there are no reports of serological evidence of human leptospirosis from Uttarakhand state in India.

aimsThe aim of this study was to screen for serological evidence of leptospirosis in patients with acute undifferentiated febrile illness at a tertiary care teaching hospital in Uttarakhand. SETTINGS AND

designA pilot study was conducted from March to November 2017. SUBJECTS AND

methodsFifty-three adult patients who presented in Medicine outpatient Department with a history of fever of ≥7 up to 14 days duration with or without other associated symptoms such as a headache, rashes, myalgia, arthralgia, and conjunctival suffusion were enrolled in the study using convenience sampling technique. Blood samples of these patients were collected and subjected to peripheral smear examination for malaria parasites, dengue immunoglobulin M (IgM) immunochromatographic card test, IgM Typhidot, Leptospira and Scrub typhus IgM ELISA, respectively. Aerobic blood culture was performed in 24 cases. Relevant clinico-epidemiological details were obtained as per the pro forma formulated in accordance with the modified Faine's criteria. STATISTICAL ANALYSIS USED: Descriptive statistics.

resultsThe study population consisted of 50.94% of males and 49.06% of females with a mean age ± standard deviation of 34.2 ± 15.2 years. Fifty febrile patients had additional symptoms of which myalgia was the most common (81.1%) followed by arthralgia (22.6%). Peripheral smears of all patients were negative for malaria parasites. Dengue and Typhidot IgM positivity was observed in two and eight patients, respectively. Six and five patients were tested positive by leptospira and scrub typhus IgM ELISA, respectively.

conclusionsLeptospirosis is a seemingly unexplored infection in Uttarakhand and should be considered as a differential diagnosis in patients with acute undifferentiated febrile illness.

Indexed as

Acute undifferentiated febrile illnessleptospirosismodified Faine's criteriascrub typhus

Identifiers

PMID30983796
PMCPMC6437824

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