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. 2014 Jan 30;8(1):e2605. doi: 10.1371/journal.pntd.0002605

Table 5. Renal involvement in scrub typhus.

Study Diagnostic criteria Region No. of patients, age of patients Urinalysis abnormalities AKI definition AKI Any other form of renal involvement
Kumar M, 2012 [37] Clinical and Weil Felix South India 35, age ≤12 years Not reported AKIN 20% of all patients (stages 1, 2 and 3 reported as 29%, 42% and 29% of all patients with AKI, respectively) Oliguria: 43% of all patients
Basu G, 2011 [27] ELISA South India 188, age ≥18 years Not reported RIFLE 42.6% of all patients (risk, injury and failure in 48%, 26% and 26% of all patients with AKI, respectively)
Chrispal A, 2010 [6] IgM ELISA South India 189, age ≥16 years Not reported Serum creatinine >1.4 mg/dL 19.6% of all patients Oliguria: 10.6% of all patients
Attur RP, 2013 [36] Weil Felix or IgM ELISA South-West India 259, median age 39 years 56.7% of all patients RIFLE 23.2% of all patients (risk, injury and failure in 38%, 22% and 40% of all patients with AKI, respectively)
Vikrant S, 2013 [8] IgM ELISA North India 515, only data about patients with AKI presented (mean age 41.4±15.9 years) Not reported RIFLE 35% of all patients (risk, injury and failure in 45%, 34% and 21% of all patients with AKI, respectively)
Wu KM, 2009 [34] IFA or PCR Eastern Taiwan 136, age ≥2 years Not reported ≥0.5 mg/dL increase in serum creatinine over baseline or lowest value OR 24 hour urine volume <400 ml 6.6% of all patients
Berman SJ, 1973 [38] IFA or mouse inoculation* South Vietnam 87, adults 20% of all patients Elevated blood urea nitrogen None

Used ≥4 fold rise in antibody titre in paired serum samples if diagnosed by IFA.

AKIN: Acute Kidney Injury Network, ELISA: Enzyme Linked Immunosorbent Assay, IgM: Immunoglobulin M.