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      <title>Clinical manifestations and molecular diagnosis of scrub typhus and murine typhus Vietnam, 2015-2017</title>
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    <abstract>Rickettsioses are endemic to Vietnam; however, only a limited number of clinical studies have been performed on these vectorborne bacteria. We conducted a prospective hospital-based study at 2 national referral hospitals in Hanoi to describe the clinical characteristics of scrub typhus and murine typhus in northern Vietnam and to assess the diagnostic applicability of quantitative real-time PCR assays to diagnose rickettsia' diseases. We enrolled 302 patients with acute undifferentiated fever and clinically suspected rickettsiosis during March 2015-March 2017. We used a standardized case report form to collect clinical information and laboratory results at the time of admission and during treatment. We confirmed scrub typhus in 103 (34.1%) patients and murine typhus in 12 (3.3%) patients. These results highlight the need for increased emphasis on training for healthcare providers for earlier recognition, prevention, and treatment of rickettsial diseases in Vietnam.</abstract>
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      <geographic>VIET NAM</geographic>
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    <classification authority="local">052</classification>
    <classification authority="local">050</classification>
    <classification authority="local">080</classification>
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      <titleInfo>
        <title>Emerging Infectious Diseases</title>
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      <part>
        <detail type="volume">
          <number>25</number>
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        <detail type="volume">
          <number>4</number>
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        <extent unit="pages">
          <list> 633-641</list>
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        <dateIssued>2019</dateIssued>
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      <identifier type="issn">1080-6040</identifier>
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    <identifier type="uri">https://www.documentation.ird.fr/hor/fdi:010075483</identifier>
    <identifier type="doi">10.3201/eid2504.180691</identifier>
    <identifier type="issn">1080-6040</identifier>
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