Journal of Vector Borne Diseases最新文献

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CXCL13 levels in cerebrospinal fluid in relapsing-remitting multiple sclerosis: The role of Borrelia in neuroinfections. 复发缓解型多发性硬化症患者脑脊液中CXCL13水平:疏螺旋体在神经感染中的作用
IF 1.2 4区 医学
Journal of Vector Borne Diseases Pub Date : 2025-07-01 Epub Date: 2025-01-10 DOI: 10.4103/jvbd.jvbd_130_24
Şeyda Karabörk, Şule Aydin Türkoğlu, Serpil Yildiz, Fatma Sirmatel
{"title":"CXCL13 levels in cerebrospinal fluid in relapsing-remitting multiple sclerosis: The role of Borrelia in neuroinfections.","authors":"Şeyda Karabörk, Şule Aydin Türkoğlu, Serpil Yildiz, Fatma Sirmatel","doi":"10.4103/jvbd.jvbd_130_24","DOIUrl":"10.4103/jvbd.jvbd_130_24","url":null,"abstract":"<p><strong>Background objectives: </strong>This study was compared the Borrelia antibodies and chemokine ligand 13 (CXCL13) levels in cerebrospinal fluid (CSF) samples from cases diagnosed with relapsing-remitting multiple sclerosis (RRMS), radiologically isolated syndrome (RIS), and pseudotumour cerebri (PTC).</p><p><strong>Methods: </strong>A total of 43 CSF samples were collected from patients diagnosed with RRMS, RIS and PTC. We prospectively investigated Borrelia IgG and IgM antibodies in the CSF samples of the cases by enzyme-linked immunosorbent assay (ELISA) and Western blot (WB) method, and CXCL13 levels by ELISA. Data were statistically analysed using the Spearman rank correlation test.</p><p><strong>Results: </strong>Five antigens (protein 19, 20, 21, 58, and outer surface protein C (OspC)) were positive due to confirmation of the positive samples for Borrelia antibodies by the WB method. There were no significant differences in CSF CXCL13 levels between the three groups. The CXCL13 level was found to be statistically higher in the demyelinating group compared to the PTC group (p=0.001).</p><p><strong>Interpretation conclusion: </strong>The Borrelia antibodies were found positive in CSF samples of RRMS patients. The coexistence of high CXCL13 (may be a potential biomarker) suggests that LNB may also play a role in the etio-pathogenesis of RRMS. In addition, the positive detection of OspC and p58 WB bands in most cases suggests that these protein bands can be used as in the differential diagnosis of neurodegenerative diseases and Lyme disease.</p>","PeriodicalId":17660,"journal":{"name":"Journal of Vector Borne Diseases","volume":" ","pages":"320-325"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142962305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Co-infection of dengue and hepatitis A virus among pediatric population: A study from a tertiary care center in central India during 2022-2023. 儿科人群中登革热和甲型肝炎病毒的合并感染:2022-2023年印度中部三级保健中心的一项研究
IF 1.2 4区 医学
Journal of Vector Borne Diseases Pub Date : 2025-07-01 Epub Date: 2025-01-18 DOI: 10.4103/jvbd.jvbd_188_24
Rajeev Kumar Jain, Rakesh Shrivastava, Garima Kapoor, Deepti Chaurasia, Kamlesh Kumar Ahirwar, Ankita Agarwal
{"title":"Co-infection of dengue and hepatitis A virus among pediatric population: A study from a tertiary care center in central India during 2022-2023.","authors":"Rajeev Kumar Jain, Rakesh Shrivastava, Garima Kapoor, Deepti Chaurasia, Kamlesh Kumar Ahirwar, Ankita Agarwal","doi":"10.4103/jvbd.jvbd_188_24","DOIUrl":"10.4103/jvbd.jvbd_188_24","url":null,"abstract":"<p><strong>Background objectives: </strong>Co-infection of dengue virus and acute hepatitis A virus in paediatric population is a major health concern in endemic countries. This cross-sectional retrospective study was conducted to evaluate the prevalence of hepatitis A virus among the clinically dengue suspected paediatric cases presented at our tertiary care centre during the two-year period (2022-2023).</p><p><strong>Methods: </strong>A total of 747 dengue suspected paediatric clinical specimens were included in this study. Serological diagnosis of DENV and HAV was done using Dengue IgM capture ELISA kit and anti-HAV IgM ELISA kits.</p><p><strong>Results: </strong>Out of the 747 dengue suspected paediatric patients, 245 (32.8%) were seropositive for either DENV, HAV, or both viruses and among these 135 (18.07%) were positive for DENV, 110 (14.72%) were positive for HAV, 22 (2.94%) were co-infected with both DENV2 and HAV. Further, among DENV seronegative cases, 88 (11.78%) clinical samples were found to be HAV positive. Among all the age groups, the highest prevalence of DENV and HAV was observed in 6-10 years. The monsoon season observed the highest number of seropositive cases compared to winter season and summer seasons. Fever was found to be the most prevalent clinical symptom followed by nausea/vomiting and stomach discomfort.</p><p><strong>Interpretation conclusion: </strong>This study underlines the significance of differential diagnosis for the detection of concurrently transmitted viral diseases during the common seasons in the endemic areas. Diagnostic challenges like misdiagnosis events can be solved by advising differential diagnosis especially in paediatric cases.</p>","PeriodicalId":17660,"journal":{"name":"Journal of Vector Borne Diseases","volume":" ","pages":"332-337"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143007668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anthropogenic influence, microbes and zoonotic diseases: Ecological imbalance, diverse impact and the ONE Health approach. 人为影响、微生物和人畜共患疾病:生态失衡、多种影响和同一个健康方法。
IF 0.8 4区 医学
Journal of Vector Borne Diseases Pub Date : 2025-06-16 DOI: 10.4103/jvbd.jvbd_13_25
Mohammad Fahad Ullah
{"title":"Anthropogenic influence, microbes and zoonotic diseases: Ecological imbalance, diverse impact and the ONE Health approach.","authors":"Mohammad Fahad Ullah","doi":"10.4103/jvbd.jvbd_13_25","DOIUrl":"https://doi.org/10.4103/jvbd.jvbd_13_25","url":null,"abstract":"<p><p>Humans, animals, and ecosystems coexist in a delicate web of interdependent means of existence. Each of these play pivotal roles in shaping the sustainability of life on Earth and global health outcomes. Human actions have profoundly transformed ecosystems on a global scale, threatening biodiversity and destabilizing ecological processes. The intricate relationship between humans and animals also extends to the realm of disease transmission such as zoonotic diseases. The term \"spillover\" commonly refers to an infection originating from animals that spreads to humans, potentially leading to an outbreak that escalates into an epidemic or pandemic through human-to-human transmission. These incidents posed the risk of evolving into pandemics with high mortality rates, which became a reality with a very recent in times the Covid-19 pandemic. The emergence and spread of zoonotic diseases are influenced by a multifaceted interaction of factors including biological, ecological, environmental, socioeconomic, and human-induced influences such as deforestation, agriculture practices, livestock production, climate change and globalization. These modify the dynamics of disease transmission between animals and humans. Effectively averting and controlling zoonotic diseases requires embracing a One Health strategy, fostering collaboration among sectors accountable for human health, animal health, and environmental safeguards. The One health challenges the anthropogenic dominance of earth and aims for optimal health and sustainability for humans, animals, and the environment simultaneously.</p>","PeriodicalId":17660,"journal":{"name":"Journal of Vector Borne Diseases","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Theoretical and Molecular Investigation of Bioactive Compounds as Potential Inhibitors of Plasmodium falciparum. 恶性疟原虫潜在抑制剂生物活性化合物的理论与分子研究。
IF 0.8 4区 医学
Journal of Vector Borne Diseases Pub Date : 2025-06-16 DOI: 10.4103/jvbd.jvbd_36_25
Hani Alothaid
{"title":"Theoretical and Molecular Investigation of Bioactive Compounds as Potential Inhibitors of Plasmodium falciparum.","authors":"Hani Alothaid","doi":"10.4103/jvbd.jvbd_36_25","DOIUrl":"https://doi.org/10.4103/jvbd.jvbd_36_25","url":null,"abstract":"<p><strong>Background objectives: </strong>Plasmodium falciparum is the most dangerous species of the malaria-causing parasite and remains a significant global health threat. Despite advances in understanding malaria and its pathology, effective treatments are limited, and drug development remains challenging. Computational techniques assist in screening potential drug candidates by simulating interactions between small molecules and target enzymes.</p><p><strong>Methods: </strong>In this study, Density Functional Theory (DFT), ADME analysis, and molecular docking studies were carried out against the ATP-dependent DNA helicase (UvrD) protein of Plasmodium falciparum 3D7, using three biologically active compounds: Betulinic acid, Celastrol, and Vitamin D3.</p><p><strong>Results: </strong>Theoretical calculations suggest that all three compounds (Betulinic acid, Celastrol, and Vitamin D3) have strong binding affinity toward Plasmodium falciparum targets. These findings may offer a novel direction for antimalarial drug discovery.</p><p><strong>Interpretation conclusion: </strong>Computational results predict that Compound 2 (Celastrol) exhibits stronger interactions with the target protein compared to the other two compounds. Its higher reactivity is further supported by a narrower HOMO-LUMO gap and molecular electrostatic potential (MEP) maps.</p>","PeriodicalId":17660,"journal":{"name":"Journal of Vector Borne Diseases","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring Antimalarial Activity of Drugs using Weighted Atomic Vectors and Artificial Intelligence. 基于加权原子向量和人工智能的药物抗疟活性研究。
IF 0.8 4区 医学
Journal of Vector Borne Diseases Pub Date : 2025-06-10 DOI: 10.4103/jvbd.jvbd_131_24
Yoan Martínez López, Wilber Figueredo Rodríguez, Juan A Castillo-Garit, Stephen J Barigye, Oscar Martínez-Santiago, Noel Enrique Rodríguez Maya
{"title":"Exploring Antimalarial Activity of Drugs using Weighted Atomic Vectors and Artificial Intelligence.","authors":"Yoan Martínez López, Wilber Figueredo Rodríguez, Juan A Castillo-Garit, Stephen J Barigye, Oscar Martínez-Santiago, Noel Enrique Rodríguez Maya","doi":"10.4103/jvbd.jvbd_131_24","DOIUrl":"https://doi.org/10.4103/jvbd.jvbd_131_24","url":null,"abstract":"<p><strong>Background objectives: </strong>Malaria is a global health issue, causing over two million deaths annually. The development of new and potent antimalarial drugs is essential to combat the disease. Machine learning has been increasingly applied to predict antimalarial activity of compounds, offering a promising approach for antimalarial pharmaceutical research. This study aims to predict the antimalarial activity of potential compounds using weighted atomic vectors and machine learning algorithms.</p><p><strong>Methods: </strong>The research employs several machine learning algorithms, such as Decision Tree, Bagging Regressor, and Ada Boost. The study uses weighted atomic vectors to represent compounds and employs machine learning algorithms for prediction. The performance of the models is assessed using metrics like R2, MAE, and RMSLE, statistical validation using Friedman and Wilcoxon Tests.</p><p><strong>Results: </strong>The results highlight the remarkable efficacy of Ada Boost in predicting antimalarial activity, consistently outperforming other algorithms across different datasets, achieving a maximum precision of 93.</p><p><strong>Interpretation conclusion: </strong>The combination of weighted atomic vectors and machine learning emerges as a promising approach for antimalarial pharmaceutical research, emphasizing the significance of artificial intelligence in this field.</p>","PeriodicalId":17660,"journal":{"name":"Journal of Vector Borne Diseases","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144248544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A case report of concomitant infections of cutaneous, mucocutaneous, and visceral leishmaniasis. 皮肤、粘膜和内脏利什曼病合并感染1例报告。
IF 0.8 4区 医学
Journal of Vector Borne Diseases Pub Date : 2025-06-10 DOI: 10.4103/jvbd.jvbd_11_25
Prativa Priyadarshani Sethi, Riti Bhatia, Prasan Kumar Panda, Amit Tyagi, Namrata Sarkar, Ashok Singh, Sarthak Gaur
{"title":"A case report of concomitant infections of cutaneous, mucocutaneous, and visceral leishmaniasis.","authors":"Prativa Priyadarshani Sethi, Riti Bhatia, Prasan Kumar Panda, Amit Tyagi, Namrata Sarkar, Ashok Singh, Sarthak Gaur","doi":"10.4103/jvbd.jvbd_11_25","DOIUrl":"https://doi.org/10.4103/jvbd.jvbd_11_25","url":null,"abstract":"","PeriodicalId":17660,"journal":{"name":"Journal of Vector Borne Diseases","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144248529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Forecasting dengue incidence in Dakshina Kannada, Karnataka (2024-2026) using Time Series Analysis. 利用时间序列分析预测2024-2026年卡纳塔克邦Dakshina Kannada地区登革热发病率。
IF 0.8 4区 医学
Journal of Vector Borne Diseases Pub Date : 2025-06-10 DOI: 10.4103/jvbd.jvbd_29_25
Navya Mohana, Mackwin Kenwood Dmello, Suresha Kharvi, Neevan Dsouza
{"title":"Forecasting dengue incidence in Dakshina Kannada, Karnataka (2024-2026) using Time Series Analysis.","authors":"Navya Mohana, Mackwin Kenwood Dmello, Suresha Kharvi, Neevan Dsouza","doi":"10.4103/jvbd.jvbd_29_25","DOIUrl":"https://doi.org/10.4103/jvbd.jvbd_29_25","url":null,"abstract":"<p><strong>Background objectives: </strong>Dengue fever is a significant public health challenge in India. This threat has been amplified by rapid urbanization. This study analyzes the spatiotemporal patterns of dengue transmission, the influence of climate on dengue transmission, and predict future trends of dengue incidence in Dakshina Kannada from 2024 to 2026.</p><p><strong>Methods: </strong>The study used retrospective data from January 1, 2019, to April 30, 2024, and covered 288 locations in the Dakshina Kannada district of Karnataka. Data was collected in Excel and analyzed using Jamovi 2.3.28 for descriptive statistics. Time series analysis was performed in R version 4.4.0, while spatiotemporal clusters were identified using SaTScan V10.1.2 and visualized in QGIS version 3.30.0. Multivariable linear regression was conducted to identify climate factors affecting dengue cases. ARIMA models were employed for predictive forecasting of future dengue cases.</p><p><strong>Results: </strong>A total of 1,836 recorded dengue cases was retrieved from the Health Management Information System (HMIS) at the district level. The study identified significant spatiotemporal clusters of dengue cases, with the primary cluster occurring from May 1, 2022, to April 30, 2024. Climatic factors, particularly rainfall and temperature, showed significant correlations with dengue incidence. The ARIMA (3,1,1) (1,0,0) [12] model demonstrated robust forecasting capability for dengue cases, indicating a continuing upward trend, which appears to be influenced by seasonal patterns.</p><p><strong>Interpretation conclusion: </strong>Dengue transmission in Dakshina Kannada is significantly influenced by climatic factors such as temperature, rainfall, and humidity. The ARIMA-based predictive modeling forecasted increased dengue cases in the coming years. These findings show the need for targeted public health interventions in identified hotspot areas, along with continuous climate-based surveillance to support timely and effective dengue control measures.</p>","PeriodicalId":17660,"journal":{"name":"Journal of Vector Borne Diseases","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144248545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Larvicidal activity, biochemical impact and chemical composition of Juniperus phoenicea essential oil on the vector of avian malaria Culiseta longiareolata. 刺柏精油对禽疟媒介长羽库蚊的杀幼虫活性、生化影响及化学成分研究
IF 0.8 4区 医学
Journal of Vector Borne Diseases Pub Date : 2025-06-10 DOI: 10.4103/jvbd.jvbd_35_25
Ikram Aouaichia, Hayette Bouabida, Linda Cheriak, Djemaa Dris
{"title":"Larvicidal activity, biochemical impact and chemical composition of Juniperus phoenicea essential oil on the vector of avian malaria Culiseta longiareolata.","authors":"Ikram Aouaichia, Hayette Bouabida, Linda Cheriak, Djemaa Dris","doi":"10.4103/jvbd.jvbd_35_25","DOIUrl":"https://doi.org/10.4103/jvbd.jvbd_35_25","url":null,"abstract":"<p><strong>Background objectives: </strong>The application of essential oils (EOs) as environmentally friendly tools for vector control has become a major focus in biopesticide research. This study aimed to characterize the chemical composition of the EO derived from Juniperus phoenicea L. harvested in the El Ma Labiodh region (Tebessa, Algeria) and to evaluate its larvicidal potential against the fourth larval instar of Culiseta longiareolata (Diptera: Culicidae).</p><p><strong>Methods: </strong>The EO was extracted from dried leaves by hydrodistillation and characterized using gas chromatography-mass spectrometry (GC-MS). Its larvicidal activity was evaluated following the World Health Organization (WHO) standard protocol. Additionally, the effects of two lethal concentrations (LC25 and LC50) were assessed on detoxification enzymes activities, glutathione S-transferase (GST) and catalase (CAT), as well as on major biochemical components (proteins, lipids, and carbohydrates) in larval tissues across different exposure periods.</p><p><strong>Results: </strong>Hydrodistillation yielded 0.56±0.03% EO, with GC-MS analysis identifying 51 compounds. Pinene <alpha-> (34.64%), Carene <delta-3-> (15.26%), Limonene (13.82%), and Myrcene (3.85%) were the predominant constituents. The EO exhibited significant larvicidal activity, with mortality rates ranging from 5 to 100%, and LC25 and LC50 values of 38.14 ppm and 57.31 ppm, respectively. Toxicity was associated with the up regulation of detoxification mechanisms, evidenced by elevated GST and CAT activities, alongside notable alterations in the larvae's biochemical profiles.</p><p><strong>Interpretation conclusion: </strong>These findings underscore the potential of J. phoenicea EO as a natural larvicide against Cs longiareolata, supporting its use as a sustainable tool for integrated mosquito control strategies.</p>","PeriodicalId":17660,"journal":{"name":"Journal of Vector Borne Diseases","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144248546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Treatment and Management of Crimean-Congo Hemorrhagic Fever. 克里米亚-刚果出血热的治疗和管理。
IF 0.8 4区 医学
Journal of Vector Borne Diseases Pub Date : 2025-06-10 DOI: 10.4103/jvbd.jvbd_18_25
Rukiyye Bulut, Bahar Kandemir, İbrahim Erayman, Pınar Belviranlı Keskin, Esma Kepenek Kurt
{"title":"Treatment and Management of Crimean-Congo Hemorrhagic Fever.","authors":"Rukiyye Bulut, Bahar Kandemir, İbrahim Erayman, Pınar Belviranlı Keskin, Esma Kepenek Kurt","doi":"10.4103/jvbd.jvbd_18_25","DOIUrl":"https://doi.org/10.4103/jvbd.jvbd_18_25","url":null,"abstract":"<p><strong>Background objectives: </strong>Crimean-Congo Hemorrhagic Fever (CCHF) is a tick-borne viral infection with a wide geographic distribution globally. The clinical severity of CCHF varies, with reported mortality rates reaching up to 60%. Despite its spread to new geographic areas and its potential to cause severe and fatal disease, no approved vaccine or antiviral treatment is currently available. Studies on the use of ribavirin for CCHF have yielded conflicting results. Consequently, many physicians manage CCHF patients with supportive care. In this study, we share the positive outcomes observed in CCHF patients who were managed exclusively with supportive treatment without the use of ribavirin.</p><p><strong>Methods: </strong>The epidemiological characteristics, laboratory results and treatment outcomes of patients with CCHF diagnosis followed up in our clinic between April 1, 2020, and September 31, 2023 were evaluated retrospectively.</p><p><strong>Results: </strong>The study included 20 patients (5 females and 15 male) with confirmed CCHF. Based on the Severity Scoring Index (SSI) scores, 7 patients with SSI 0-2 were classified as mild cases, 12 patients with SSI 3-9 as moderate cases, and 1 patient with SSI 10-13 as a severe case. No patients received ribavirin as part of their treatment. All patients were managed with supportive care, and no mortality was observed.</p><p><strong>Interpretation and conclusion: </strong>Supportive care remains the standard treatment for CCHF management. The effectiveness of ribavirin in CCHF remains unclear.</p>","PeriodicalId":17660,"journal":{"name":"Journal of Vector Borne Diseases","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144248548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical Profile and Predictors of Severity in Infantile Scrub Typhus - A Prospective observational study from a Tertiary Care Teaching Hospital in Southern India. 婴儿恙虫病的临床特征和严重程度的预测因素——一项来自印度南部三级护理教学医院的前瞻性观察研究。
IF 0.8 4区 医学
Journal of Vector Borne Diseases Pub Date : 2025-06-10 DOI: 10.4103/jvbd.jvbd_8_25
Dinesh Kumar Narayanasamy, Thirunavukkarasu Arun Babu, Prakash Mathiyalagen
{"title":"Clinical Profile and Predictors of Severity in Infantile Scrub Typhus - A Prospective observational study from a Tertiary Care Teaching Hospital in Southern India.","authors":"Dinesh Kumar Narayanasamy, Thirunavukkarasu Arun Babu, Prakash Mathiyalagen","doi":"10.4103/jvbd.jvbd_8_25","DOIUrl":"https://doi.org/10.4103/jvbd.jvbd_8_25","url":null,"abstract":"<p><strong>Background objectives: </strong>Scrub typhus (ST), a tropical infection caused by Orientia tsutsugamushi, has re-emerged as a global concern in the Asia-Pacific region. Limited data on ST in infants reveals unique presentations, complications, and severity predictors. This study was conducted to evaluate the occurrence of ST in infants, comparing clinical, laboratory and outcomes with ST in older children.</p><p><strong>Methods: </strong>This is a prospective cohort study conducted in the Pediatrics department of a teaching hospital in South India. Children of < 12y years presenting with fever for > 5 days with serology confirmed ST using IgM ELISA for ST were included after excluding other common tropical infections.</p><p><strong>Results: </strong>Out of 650 children, 60 (10%) were infants. Fever (100%) was the commonest presentation with mean duration of 9 days followed by cough and fast breathing. Eschar (33, 55%) was commonly seen in face (14, 23.3%) and were atypical (10, 16.6%) in appearance. Findings such as pallor, oedema, hepatosplenomegaly, lung crackles and hematological abnormalities like anemia, leukocytosis, elevated transaminases were more prevalent in infants compared to older children. Severe ST was observed in 34 (56.7%) infants, commonly presenting with pneumonia and shock. Doxycycline showed quicker defervesence with no adverse events in infants. Logistic regression identified hypoalbuminemia as a significant predictor of severe ST in infants.</p><p><strong>Interpretation conclusion: </strong>ST in infants is common and pose diagnostic challenge due to overlapping features of other tropical infections. Timely therapy and risk stratification can improve the outcomes in resource limited setting.</p>","PeriodicalId":17660,"journal":{"name":"Journal of Vector Borne Diseases","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144248530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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