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.