Table 3. Clinical characteristics of cases of acute infection of spotted fever group rickettsioses (SFGR) in Taiwan.

Case No.	Case 1	Case 2	Case 3	Case 4	Case 5	Other case [33] a
Clinical finaldiagnosis	UFD	UFD	Q fever	Scrub typhus	UFD	NA
Identified SFGR	UndeterminedSFGR	Possible R. felis	Possible R. felis	Possible R. felis	UndeterminedSFGR	R. felis
Age/Sex	48/F	50/M	31/M	67/M	40/M	27/F
Underlying diseases	Nil	Alcoholism	Alcoholism, HCV	HBV, HCV, cirrhosis,diabetes mellitus	Nil	Nil
Clinical symptomsand signs	Fever, chills,	Fever, chills,headache, skinrash, relativebradycardia	Fever, chills,headache, abdominalpain, myalgia,relative bradycardia	Fever, chills, cough,abdominal pain,myalgia, relativebradycardia	Fever, chills,headache	Fever, chills,headache, fatigue,acute polyneuropathy
Resident in mountainarea/rural	Nil	Yes	Yes	Yes	Nil	Nil
Recent travel in mountain/rural area	Yes	Nil	Nil	Nil	Nil	Nil
Animal contact history	Dogs, chicken	Nil	Cattle	Nil	Nil	Nil
Insects/arthropods bites	Nil	Nil	Nil	Nil	Nil	Nil
Chest x-ray	Normal	Normal	Normal	Increased infiltrationover right lower lung	Normal	Normal
Abdominal ultrasonography	Fatty liver	Fatty liver	Fatty liver,hepatosplenomegaly	Cirrhosis, splenomegaly,fatty liver, gallstonesand polyps	Fatty liver	NA
Laboratory examination	Normal bloodcell count,elevatedliver enzymes(ALT/AST:122/188 U/L)	Thrombocytopenia(platelet count:113000/uL),elevated liverenzymes (ALT/AST:155/191 U/L)	Leukocytosis(WBC:14210/uL),elevated liverenzymes(ALT/AST:150/214 U/L)	Thrombocytopenia(platelet count:149000/uL), elevatedliver enzymes (ALT/AST:108/113 U/L)	Thrombocytopenia(69000/uL), elevatedliver enzymes(ALT/AST:208/46 U/L)	Normal blood cellcount, liver enzymes
Antimicrobial treatment	Doxycycline	Moxifloxacin,doxycycline	Doxycycline	Doxycycline,levofloxacin	Doxycycline	Doxycycline

^aCase 6 was reported by Tsai et al. [33].

Normal range of blood examinations: WBC (3600∼10600/uL), platelet count (150000∼400000 uL), ALT (0∼40 U/L), AST (0∼38 U/L).

UFD = Unknown febrile disease; HBV = Hepatitis B virus; HCV = Hepatitis C virus; ALT = Alanine transaminase; AST = Aspartate transaminase; WBC = White blood cell count; NA = Not available.