Table 1.
Characteristics | Scrub typhus (N = 63) |
---|---|
Age, y; mean ± SD | 67.6 ± 12.6 |
Gender, n (%) | |
Male | 19 (30.2) |
Female | 44 (69.8) |
Comorbidities, n (%) | |
Cardiovascular disease* | 11 (17.5) |
Cerebrovascular disease | 13 (20.6) |
Pulmonary disease† | 3 (4.8) |
Connective tissue disease | 0 (0.0) |
Liver disease | 2 (3.2) |
Chronic kidney disease | 0 (0.0) |
Diabetes mellitus | 23 (36.5) |
Solid tumor | 5 (7.9) |
Clinical signs and symptoms, n (%) | |
Headache | 30 (47.6) |
Dyspepsia | 30 (47.6) |
Nausea/vomiting | 19 (30.2) |
Abdominal pain | 13 (20.6) |
Fever | 63 (100.0) |
Myalgia | 35 (55.6) |
Lymphadenopathy | 21 (33.3) |
Rash | 44 (69.8) |
Eschar | 55 (87.3) |
Laboratory values, median (IQR) | |
WBC count, ×1,000/mm3 | 7.9 (5.8–10.7) |
Platelet count, ×1,000/mm3 | 128.0 (101.3–174.5) |
Total bilirubin, mg/dL | 0.7 (0.5–0.9) |
Albumin, g/dL | 3.5 (3.0–3.9) |
AST, IU/L | 88.0 (54.3–148.5) |
ALT, IU/L | 74.0 (39.0–115.3) |
Lactate dehydrogenase | 859.5 (687.0–986.0) |
Creatinine, mg/dL | 0.8 (0.6–1.1) |
hs-CRP, mg/dL | 104.3 (62.5–161.1) |
Genotype, n (%); N = 61 | |
Boryong strain | 50 (82.0) |
Karp strain | 9 (14.8) |
Gilliam strain | 1 (1.6) |
Kawasaki strain | 1 (1.6) |
Treatment, n (%) | |
Doxycycline | 56 (88.9) |
Azithromycin | 4 (6.3) |
Azithromycin or doxycycline | 3 (4.8) |
ALT = alanine aminotransferase; AST = aspartate aminotransferase; hs-CRP = high-sensitivity C-reactive protein; IQR = interquartile range; WBC = white blood cell.
*Includes myocardial infarction, congestive heart failure, and peripheral vascular disease.
Includes chronic obstructive pulmonary disease and asthma.