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首页> 外文期刊>The American Journal of Tropical Medicine and Hygiene >Causes of fever in adults on the Thai-Myanmar border.
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Causes of fever in adults on the Thai-Myanmar border.

机译：泰缅边境成年人的发烧原因。

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摘要

A hospital-based study was conducted along the Thai-Myanmar border to provide greater knowledge of the causes of febrile illness and to determine what zoonotic and vector-borne emerging infectious diseases might be present. A total of 613 adults were enrolled from June 1999 to March 2002. Cases were classified based on clinical findings and laboratory results. An etiologic diagnosis was made for 48% of subjects. Malaria was the most common diagnosis, accounting for 25% of subjects, with two-thirds Plasmodium falciparum. Serologic evidence for leptospirosis was found in 17% of subjects. Other etiologic diagnoses included rickettsial infections, dengue fever, and typhoid. The most frequent clinical diagnoses were nonspecific febrile illness, respiratory infections, and gastroenteritis. Clinical associations were generally not predictive of etiologic diagnosis. Apparent dual diagnoses were common, particularly for malaria and leptospirosis. Findings have been used to modify treatment of unspecified febrile illness in the area.
机译：在泰缅边境进行了一项基于医院的研究，以提供更多有关高热病成因的知识，并确定可能存在的人畜共患病和媒介传播的新兴传染病。从1999年6月至2002年3月，总共613名成年人入组。根据临床发现和实验室结果对病例进行分类。对48％的受试者进行了病因诊断。疟疾是最常见的诊断，占受试者的25％，其中恶性疟原虫占三分之二。在17％的受试者中发现了钩端螺旋体病的血清学证据。其他病因学诊断包括病，登革热和伤寒。最常见的临床诊断是非特异性发热性疾病，呼吸道感染和肠胃炎。临床关联通常不能预测病因诊断。明显的双重诊断是常见的，特别是对于疟疾和钩端螺旋体病。研究结果已用于修改该地区未明确的高热病的治疗方法。

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