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Imported scrub typhus: first case in South America and review of the literature

Overview of attention for article published in Tropical Diseases, Travel Medicine and Vaccines, August 2018
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Title
Imported scrub typhus: first case in South America and review of the literature
Published in
Tropical Diseases, Travel Medicine and Vaccines, August 2018
DOI 10.1186/s40794-018-0070-8
Pubmed ID
Authors

Thomas Weitzel, Mabel Aylwin, Constanza Martínez-Valdebenito, Ju Jiang, Jose Manuel Munita, Luis Thompson, Katia Abarca, Allen L. Richards

Abstract

Scrub typhus is a neglected vector-borne zoonosis causing life-threatening illnesses, endemic in the Asian-Pacific region and, as recently discovered, in southern Chile. Scrub typhus is rarely reported in travelers, most probably due to the lack of clinical experience and diagnostic tests in non-endemic countries. We report the first case of imported scrub typhus in South America. A 62-year-old tourist from South Korea presented severely ill with fever, rash, and eschar in Santiago, Chile. Laboratory exams showed thrombocytopenia and elevated inflammation parameters, hepatic enzymes, and LDH. With the clinical suspicion of scrub typhus, empirical treatment with doxycycline was initiated and the patient recovered rapidly and without complications. The diagnosis was confirmed by IgM serology and by real-time PCR, which demonstrated infection with Orientia tsutsugamushi (Kawasaki clade). Only due to the emerging clinical experience with endemic South American scrub typhus and the recent implementation of appropriate diagnostic techniques in Chile, were we able to firstly identify and adequately manage a severe case of imported scrub typhus in South America. Physicians attending febrile travelers need to be aware of this rickettsiosis, since it requires prompt treatment with doxycycline to avoid complications.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 26 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 26 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 4 15%
Other 4 15%
Unspecified 2 8%
Student > Master 2 8%
Student > Doctoral Student 1 4%
Other 6 23%
Unknown 7 27%
Readers by discipline Count As %
Agricultural and Biological Sciences 4 15%
Biochemistry, Genetics and Molecular Biology 4 15%
Medicine and Dentistry 3 12%
Pharmacology, Toxicology and Pharmaceutical Science 2 8%
Unspecified 2 8%
Other 4 15%
Unknown 7 27%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 19 August 2018.
All research outputs
#15,543,612
of 23,100,534 outputs
Outputs from Tropical Diseases, Travel Medicine and Vaccines
#94
of 136 outputs
Outputs of similar age
#192,162
of 301,794 outputs
Outputs of similar age from Tropical Diseases, Travel Medicine and Vaccines
#3
of 5 outputs
Altmetric has tracked 23,100,534 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 136 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 13.1. This one is in the 22nd percentile – i.e., 22% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 301,794 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 27th percentile – i.e., 27% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 5 others from the same source and published within six weeks on either side of this one. This one has scored higher than 2 of them.