Table 1.
Diagnosis | # of samples | Case definition (# of samples) |
---|---|---|
Scrub typhusb | 78 | IgG or IgM or both ≥400 (61), or 4-fold increase in IgG or IgM titer between convalescent and acute specimens (6), or PCR positive onlyd (5), or PCR positive and 4-fold increase in titer (6) |
Dengue | 11 | NS1, or IgG or IgM rapid test positive |
Murine typhus | 2 | single IFA IgG and/or IgM titer ≥400, or a 4-fold increase in IgG or IgM titer |
leptospirosis | 16 | single IFA IgG or IgM titer ≥400, or a 4-fold increase in titer of IgG or IgM, or positive PCR for LipL32 |
Other bacteremia | 3 | Bacteria culture positive |
Co-infection (Scrub typhus and others)c | 8 | IgG or IgM ≥ 400 (7), 4-fold increase in IgG and IgM titer between convalescent and acute specimens (1) |
unknown | 130 | Negative by all above |
aSamples were determined for the cause of infection using the criteria listed
bFive different criteria were applied to determine scrub typhus positive. A sample is considered scrub typhus positive if it is positive by any of the 5 criteria. Numbers in parentheses represent number of cases defined by respective criterion
cThe same criteria to identify scrub typhus positive were applied to co-infection samples
dThe 47 kDa or 56 kDa gene was used as targets for PCR