AustralieFrV1, PascalFrancis, Curation, bibRecord, 003A34

The infective causes of hepatitis and jaundice amongst hospitalised patients in Vientiane, Laos

Identifieur interne : 003A34 ( PascalFrancis/Curation ); précédent : 003A33; suivant : 003A35

The infective causes of hepatitis and jaundice amongst hospitalised patients in Vientiane, Laos

Auteurs : Bounkong Syhavong [Laos] ; Bouachanh Rasachack [Laos] ; Lee Smythe [Australie] ; Jean-Marc Rolain [France] ; Anne-Marie Roque-Afonso [France] ; Kemajittra Jenjaroen [Thaïlande] ; Vimone Soukkhaserm [Laos] ; Simmaly Phongmany [Laos] ; Rattanaphone Phetsouvanh [Laos, Royaume-Uni] ; Sune Soukkhaserm [Laos] ; Te Thammavong [Laos] ; Mayfong Mayxay [Laos, Royaume-Uni] ; Stuart D. Blacksell [Laos, Thaïlande, Royaume-Uni] ; Eleanor Barnes [Royaume-Uni] ; Philippe Parola [France] ; Elisabeth Dussaix [France] ; Didier Raoult [France] ; Isla Humphreys [Royaume-Uni] ; Paul Klenerman [Royaume-Uni] ; Nicholas J. White [Laos, Thaïlande, Royaume-Uni] ; Paul N. Newton [Laos, Royaume-Uni]

Source :

Transactions of the Royal Society of Tropical Medicine and Hygiene [ 0035-9203 ] ; 2010.

RBID : Pascal:10-0331519

Descripteurs français

Pascal (Inist)
- Hépatite, Leptospirose, Ictère, Laos, Médecine tropicale, Homme, Virus hépatite E, Rickettsia typhi.
Wicri :
- geographic : Laos.
- topic : Homme.

English descriptors

KwdEn :
- Hepatitis, Hepatitis E virus, Human, Jaundice, Laos, Leptospirosis, Rickettsia typhi, Tropical medicine.

Abstract

There is little information on the diverse infectious causes of jaundice and hepatitis in the Asiatic tropics. Serology (hepatitis A, B, C and E, leptospirosis, dengue, rickettsia), antigen tests (dengue), PCR assays (hepatitis A, C and E) and blood cultures (septicaemia) were performed on samples from 392 patients admitted with jaundice or raised transaminases (≥ x 3) to Mahosot Hospital, Vientiane, Laos over 3 years. Conservative definitions suggested diagnoses of dengue (8.4%), rickettsioses (7.3%), leptospirosis (6.8%), hepatitis B (4.9%), hepatitis C (4.9%), community-acquired septicaemia (3.3%) and hepatitis E (1.6%). Although anti-hepatitis A virus (HAV) IgM antibody results suggested that 35.8% of patients had acute HAV infections, anti-HAV IgG antibody avidity and HAV PCR suggested that 82% had polyclonal activation and not acute HAV infections. Scrub typhus, murine typhus or leptospirosis were present in 12.8% of patients and were associated with meningism and relatively low AST and ALT elevation. These patients would be expected to respond to empirical doxycycline therapy which, in the absence of virological diagnosis and treatment, may be an appropriate cost-effective intervention in Lao patients with jaundice/hepatitis.

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A08	`01`	`1`	`ENG`	`@1 The infective causes of hepatitis and jaundice amongst hospitalised patients in Vientiane, Laos`
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A14	`06`			`@1 Centre for Clinical Vaccinology and Tropical Medicine, University of Oxford, Churchill Hospital @2 Oxford @3 GBR @Z 9 aut. @Z 12 aut. @Z 13 aut. @Z 20 aut. @Z 21 aut.`
A14	`07`			`@1 National Blood Transfusion Centre, Lao Red Cross @2 Vientiane @3 LAO @Z 11 aut.`
A14	`08`			`@1 Faculty of Post Graduate Studies, University of Health Sciences @2 Vientiane @3 LAO @Z 12 aut.`
A14	`09`			`@1 The Peter Medawar Building for Pathogen Research, University of Oxford @2 Oxford @3 GBR @Z 14 aut. @Z 18 aut. @Z 19 aut.`
A20				`@1 475-483`
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C01	`01`		`ENG`	@0 There is little information on the diverse infectious causes of jaundice and hepatitis in the Asiatic tropics. Serology (hepatitis A, B, C and E, leptospirosis, dengue, rickettsia), antigen tests (dengue), PCR assays (hepatitis A, C and E) and blood cultures (septicaemia) were performed on samples from 392 patients admitted with jaundice or raised transaminases (≥ x 3) to Mahosot Hospital, Vientiane, Laos over 3 years. Conservative definitions suggested diagnoses of dengue (8.4%), rickettsioses (7.3%), leptospirosis (6.8%), hepatitis B (4.9%), hepatitis C (4.9%), community-acquired septicaemia (3.3%) and hepatitis E (1.6%). Although anti-hepatitis A virus (HAV) IgM antibody results suggested that 35.8% of patients had acute HAV infections, anti-HAV IgG antibody avidity and HAV PCR suggested that 82% had polyclonal activation and not acute HAV infections. Scrub typhus, murine typhus or leptospirosis were present in 12.8% of patients and were associated with meningism and relatively low AST and ALT elevation. These patients would be expected to respond to empirical doxycycline therapy which, in the absence of virological diagnosis and treatment, may be an appropriate cost-effective intervention in Lao patients with jaundice/hepatitis.
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C03	`01`	`X`	`ENG`	`@0 Hepatitis @5 01`
C03	`01`	`X`	`SPA`	`@0 Hepatitis @5 01`
C03	`02`	`X`	`FRE`	`@0 Leptospirose @5 02`
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C07	`02`	`X`	`FRE`	`@0 Bactériose`
C07	`02`	`X`	`ENG`	`@0 Bacteriosis`
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C07	`10`	`X`	`SPA`	`@0 Rickettsiales @2 NS`
C07	`11`	`X`	`FRE`	`@0 Bactérie`
C07	`11`	`X`	`ENG`	`@0 Bacteria`
C07	`11`	`X`	`SPA`	`@0 Bacteria`
C07	`12`	`X`	`FRE`	`@0 Pathologie de l'appareil digestif @5 37`
C07	`12`	`X`	`ENG`	`@0 Digestive diseases @5 37`
C07	`12`	`X`	`SPA`	`@0 Aparato digestivo patología @5 37`
C07	`13`	`X`	`FRE`	`@0 Pathologie du foie @5 38`
C07	`13`	`X`	`ENG`	`@0 Hepatic disease @5 38`
C07	`13`	`X`	`SPA`	`@0 Hígado patología @5 38`
N21				`@1 214`
N44	`01`			`@1 OTO`
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Le document en format XML

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<author><name sortKey="Syhavong, Bounkong" sort="Syhavong, Bounkong" uniqKey="Syhavong B" first="Bounkong" last="Syhavong">Bounkong Syhavong</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Wellcome Trust-Mahosot Hospital-Oxford Tropical Medicine Research Collaboration, Microbiology Laboratory, Mahosot Hospital</s1>
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<author><name sortKey="Rasachack, Bouachanh" sort="Rasachack, Bouachanh" uniqKey="Rasachack B" first="Bouachanh" last="Rasachack">Bouachanh Rasachack</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Wellcome Trust-Mahosot Hospital-Oxford Tropical Medicine Research Collaboration, Microbiology Laboratory, Mahosot Hospital</s1>
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<author><name sortKey="Smythe, Lee" sort="Smythe, Lee" uniqKey="Smythe L" first="Lee" last="Smythe">Lee Smythe</name>
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<author><name sortKey="Rolain, Jean Marc" sort="Rolain, Jean Marc" uniqKey="Rolain J" first="Jean-Marc" last="Rolain">Jean-Marc Rolain</name>
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<author><name sortKey="Roque Afonso, Anne Marie" sort="Roque Afonso, Anne Marie" uniqKey="Roque Afonso A" first="Anne-Marie" last="Roque-Afonso">Anne-Marie Roque-Afonso</name>
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<author><name sortKey="Jenjaroen, Kemajittra" sort="Jenjaroen, Kemajittra" uniqKey="Jenjaroen K" first="Kemajittra" last="Jenjaroen">Kemajittra Jenjaroen</name>
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<author><name sortKey="Soukkhaserm, Vimone" sort="Soukkhaserm, Vimone" uniqKey="Soukkhaserm V" first="Vimone" last="Soukkhaserm">Vimone Soukkhaserm</name>
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<author><name sortKey="Phongmany, Simmaly" sort="Phongmany, Simmaly" uniqKey="Phongmany S" first="Simmaly" last="Phongmany">Simmaly Phongmany</name>
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<author><name sortKey="Phetsouvanh, Rattanaphone" sort="Phetsouvanh, Rattanaphone" uniqKey="Phetsouvanh R" first="Rattanaphone" last="Phetsouvanh">Rattanaphone Phetsouvanh</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Wellcome Trust-Mahosot Hospital-Oxford Tropical Medicine Research Collaboration, Microbiology Laboratory, Mahosot Hospital</s1>
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<author><name sortKey="Soukkhaserm, Sune" sort="Soukkhaserm, Sune" uniqKey="Soukkhaserm S" first="Sune" last="Soukkhaserm">Sune Soukkhaserm</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Wellcome Trust-Mahosot Hospital-Oxford Tropical Medicine Research Collaboration, Microbiology Laboratory, Mahosot Hospital</s1>
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<author><name sortKey="Thammavong, Te" sort="Thammavong, Te" uniqKey="Thammavong T" first="Te" last="Thammavong">Te Thammavong</name>
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<s2>Vientiane</s2>
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</author>
<author><name sortKey="Mayxay, Mayfong" sort="Mayxay, Mayfong" uniqKey="Mayxay M" first="Mayfong" last="Mayxay">Mayfong Mayxay</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Wellcome Trust-Mahosot Hospital-Oxford Tropical Medicine Research Collaboration, Microbiology Laboratory, Mahosot Hospital</s1>
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<affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Centre for Clinical Vaccinology and Tropical Medicine, University of Oxford, Churchill Hospital</s1>
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<affiliation wicri:level="1"><inist:fA14 i1="08"><s1>Faculty of Post Graduate Studies, University of Health Sciences</s1>
<s2>Vientiane</s2>
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</inist:fA14>
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</affiliation>
</author>
<author><name sortKey="Blacksell, Stuart D" sort="Blacksell, Stuart D" uniqKey="Blacksell S" first="Stuart D." last="Blacksell">Stuart D. Blacksell</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Wellcome Trust-Mahosot Hospital-Oxford Tropical Medicine Research Collaboration, Microbiology Laboratory, Mahosot Hospital</s1>
<s2>Vientiane</s2>
<s3>LAO</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>20 aut.</sZ>
<sZ>21 aut.</sZ>
</inist:fA14>
<country>Laos</country>
</affiliation>
<affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Faculty of Tropical Medicine, Mahidol University, 420/6 Rajvithi Rd.</s1>
<s2>Bangkok 10400</s2>
<s3>THA</s3>
<sZ>6 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>20 aut.</sZ>
</inist:fA14>
<country>Thaïlande</country>
</affiliation>
<affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Centre for Clinical Vaccinology and Tropical Medicine, University of Oxford, Churchill Hospital</s1>
<s2>Oxford</s2>
<s3>GBR</s3>
<sZ>9 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>20 aut.</sZ>
<sZ>21 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
</affiliation>
</author>
<author><name sortKey="Barnes, Eleanor" sort="Barnes, Eleanor" uniqKey="Barnes E" first="Eleanor" last="Barnes">Eleanor Barnes</name>
<affiliation wicri:level="1"><inist:fA14 i1="09"><s1>The Peter Medawar Building for Pathogen Research, University of Oxford</s1>
<s2>Oxford</s2>
<s3>GBR</s3>
<sZ>14 aut.</sZ>
<sZ>18 aut.</sZ>
<sZ>19 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
</affiliation>
</author>
<author><name sortKey="Parola, Philippe" sort="Parola, Philippe" uniqKey="Parola P" first="Philippe" last="Parola">Philippe Parola</name>
<affiliation wicri:level="1"><inist:fA14 i1="03"><s1>URMITE CNRS-IRD UMR 6236, Faculté de Médecine et de Pharmacie, Université de la Méditerranée</s1>
<s2>Marseille</s2>
<s3>FRA</s3>
<sZ>4 aut.</sZ>
<sZ>15 aut.</sZ>
<sZ>17 aut.</sZ>
</inist:fA14>
<country>France</country>
</affiliation>
</author>
<author><name sortKey="Dussaix, Elisabeth" sort="Dussaix, Elisabeth" uniqKey="Dussaix E" first="Elisabeth" last="Dussaix">Elisabeth Dussaix</name>
<affiliation wicri:level="1"><inist:fA14 i1="04"><s1>AP-HP, National Reference Centre for HAV, Hôpital Paul Brousse</s1>
<s2>Villejuif, 94804</s2>
<s3>FRA</s3>
<sZ>5 aut.</sZ>
<sZ>16 aut.</sZ>
</inist:fA14>
<country>France</country>
</affiliation>
</author>
<author><name sortKey="Raoult, Didier" sort="Raoult, Didier" uniqKey="Raoult D" first="Didier" last="Raoult">Didier Raoult</name>
<affiliation wicri:level="1"><inist:fA14 i1="03"><s1>URMITE CNRS-IRD UMR 6236, Faculté de Médecine et de Pharmacie, Université de la Méditerranée</s1>
<s2>Marseille</s2>
<s3>FRA</s3>
<sZ>4 aut.</sZ>
<sZ>15 aut.</sZ>
<sZ>17 aut.</sZ>
</inist:fA14>
<country>France</country>
</affiliation>
</author>
<author><name sortKey="Humphreys, Isla" sort="Humphreys, Isla" uniqKey="Humphreys I" first="Isla" last="Humphreys">Isla Humphreys</name>
<affiliation wicri:level="1"><inist:fA14 i1="09"><s1>The Peter Medawar Building for Pathogen Research, University of Oxford</s1>
<s2>Oxford</s2>
<s3>GBR</s3>
<sZ>14 aut.</sZ>
<sZ>18 aut.</sZ>
<sZ>19 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
</affiliation>
</author>
<author><name sortKey="Klenerman, Paul" sort="Klenerman, Paul" uniqKey="Klenerman P" first="Paul" last="Klenerman">Paul Klenerman</name>
<affiliation wicri:level="1"><inist:fA14 i1="09"><s1>The Peter Medawar Building for Pathogen Research, University of Oxford</s1>
<s2>Oxford</s2>
<s3>GBR</s3>
<sZ>14 aut.</sZ>
<sZ>18 aut.</sZ>
<sZ>19 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
</affiliation>
</author>
<author><name sortKey="White, Nicholas J" sort="White, Nicholas J" uniqKey="White N" first="Nicholas J." last="White">Nicholas J. White</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Wellcome Trust-Mahosot Hospital-Oxford Tropical Medicine Research Collaboration, Microbiology Laboratory, Mahosot Hospital</s1>
<s2>Vientiane</s2>
<s3>LAO</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>20 aut.</sZ>
<sZ>21 aut.</sZ>
</inist:fA14>
<country>Laos</country>
</affiliation>
<affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Faculty of Tropical Medicine, Mahidol University, 420/6 Rajvithi Rd.</s1>
<s2>Bangkok 10400</s2>
<s3>THA</s3>
<sZ>6 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>20 aut.</sZ>
</inist:fA14>
<country>Thaïlande</country>
</affiliation>
<affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Centre for Clinical Vaccinology and Tropical Medicine, University of Oxford, Churchill Hospital</s1>
<s2>Oxford</s2>
<s3>GBR</s3>
<sZ>9 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>20 aut.</sZ>
<sZ>21 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
</affiliation>
</author>
<author><name sortKey="Newton, Paul N" sort="Newton, Paul N" uniqKey="Newton P" first="Paul N." last="Newton">Paul N. Newton</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Wellcome Trust-Mahosot Hospital-Oxford Tropical Medicine Research Collaboration, Microbiology Laboratory, Mahosot Hospital</s1>
<s2>Vientiane</s2>
<s3>LAO</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>20 aut.</sZ>
<sZ>21 aut.</sZ>
</inist:fA14>
<country>Laos</country>
</affiliation>
<affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Centre for Clinical Vaccinology and Tropical Medicine, University of Oxford, Churchill Hospital</s1>
<s2>Oxford</s2>
<s3>GBR</s3>
<sZ>9 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>20 aut.</sZ>
<sZ>21 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">INIST</idno>
<idno type="inist">10-0331519</idno>
<date when="2010">2010</date>
<idno type="stanalyst">PASCAL 10-0331519 INIST</idno>
<idno type="RBID">Pascal:10-0331519</idno>
<idno type="wicri:Area/PascalFrancis/Corpus">002552</idno>
<idno type="wicri:Area/PascalFrancis/Curation">003A34</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">The infective causes of hepatitis and jaundice amongst hospitalised patients in Vientiane, Laos</title>
<author><name sortKey="Syhavong, Bounkong" sort="Syhavong, Bounkong" uniqKey="Syhavong B" first="Bounkong" last="Syhavong">Bounkong Syhavong</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Wellcome Trust-Mahosot Hospital-Oxford Tropical Medicine Research Collaboration, Microbiology Laboratory, Mahosot Hospital</s1>
<s2>Vientiane</s2>
<s3>LAO</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>20 aut.</sZ>
<sZ>21 aut.</sZ>
</inist:fA14>
<country>Laos</country>
</affiliation>
</author>
<author><name sortKey="Rasachack, Bouachanh" sort="Rasachack, Bouachanh" uniqKey="Rasachack B" first="Bouachanh" last="Rasachack">Bouachanh Rasachack</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Wellcome Trust-Mahosot Hospital-Oxford Tropical Medicine Research Collaboration, Microbiology Laboratory, Mahosot Hospital</s1>
<s2>Vientiane</s2>
<s3>LAO</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>20 aut.</sZ>
<sZ>21 aut.</sZ>
</inist:fA14>
<country>Laos</country>
</affiliation>
</author>
<author><name sortKey="Smythe, Lee" sort="Smythe, Lee" uniqKey="Smythe L" first="Lee" last="Smythe">Lee Smythe</name>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>WHO/AO/OIE Collaborating Centre for Reference & Research on Leptospirosis, Queensland Health Forensic and Scientific Services</s1>
<s2>Coopers Plains, Queensland, 4108</s2>
<s3>AUS</s3>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>Australie</country>
</affiliation>
</author>
<author><name sortKey="Rolain, Jean Marc" sort="Rolain, Jean Marc" uniqKey="Rolain J" first="Jean-Marc" last="Rolain">Jean-Marc Rolain</name>
<affiliation wicri:level="1"><inist:fA14 i1="03"><s1>URMITE CNRS-IRD UMR 6236, Faculté de Médecine et de Pharmacie, Université de la Méditerranée</s1>
<s2>Marseille</s2>
<s3>FRA</s3>
<sZ>4 aut.</sZ>
<sZ>15 aut.</sZ>
<sZ>17 aut.</sZ>
</inist:fA14>
<country>France</country>
</affiliation>
</author>
<author><name sortKey="Roque Afonso, Anne Marie" sort="Roque Afonso, Anne Marie" uniqKey="Roque Afonso A" first="Anne-Marie" last="Roque-Afonso">Anne-Marie Roque-Afonso</name>
<affiliation wicri:level="1"><inist:fA14 i1="04"><s1>AP-HP, National Reference Centre for HAV, Hôpital Paul Brousse</s1>
<s2>Villejuif, 94804</s2>
<s3>FRA</s3>
<sZ>5 aut.</sZ>
<sZ>16 aut.</sZ>
</inist:fA14>
<country>France</country>
</affiliation>
</author>
<author><name sortKey="Jenjaroen, Kemajittra" sort="Jenjaroen, Kemajittra" uniqKey="Jenjaroen K" first="Kemajittra" last="Jenjaroen">Kemajittra Jenjaroen</name>
<affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Faculty of Tropical Medicine, Mahidol University, 420/6 Rajvithi Rd.</s1>
<s2>Bangkok 10400</s2>
<s3>THA</s3>
<sZ>6 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>20 aut.</sZ>
</inist:fA14>
<country>Thaïlande</country>
</affiliation>
</author>
<author><name sortKey="Soukkhaserm, Vimone" sort="Soukkhaserm, Vimone" uniqKey="Soukkhaserm V" first="Vimone" last="Soukkhaserm">Vimone Soukkhaserm</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Wellcome Trust-Mahosot Hospital-Oxford Tropical Medicine Research Collaboration, Microbiology Laboratory, Mahosot Hospital</s1>
<s2>Vientiane</s2>
<s3>LAO</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>20 aut.</sZ>
<sZ>21 aut.</sZ>
</inist:fA14>
<country>Laos</country>
</affiliation>
</author>
<author><name sortKey="Phongmany, Simmaly" sort="Phongmany, Simmaly" uniqKey="Phongmany S" first="Simmaly" last="Phongmany">Simmaly Phongmany</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Wellcome Trust-Mahosot Hospital-Oxford Tropical Medicine Research Collaboration, Microbiology Laboratory, Mahosot Hospital</s1>
<s2>Vientiane</s2>
<s3>LAO</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>20 aut.</sZ>
<sZ>21 aut.</sZ>
</inist:fA14>
<country>Laos</country>
</affiliation>
</author>
<author><name sortKey="Phetsouvanh, Rattanaphone" sort="Phetsouvanh, Rattanaphone" uniqKey="Phetsouvanh R" first="Rattanaphone" last="Phetsouvanh">Rattanaphone Phetsouvanh</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Wellcome Trust-Mahosot Hospital-Oxford Tropical Medicine Research Collaboration, Microbiology Laboratory, Mahosot Hospital</s1>
<s2>Vientiane</s2>
<s3>LAO</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>20 aut.</sZ>
<sZ>21 aut.</sZ>
</inist:fA14>
<country>Laos</country>
</affiliation>
<affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Centre for Clinical Vaccinology and Tropical Medicine, University of Oxford, Churchill Hospital</s1>
<s2>Oxford</s2>
<s3>GBR</s3>
<sZ>9 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>20 aut.</sZ>
<sZ>21 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
</affiliation>
</author>
<author><name sortKey="Soukkhaserm, Sune" sort="Soukkhaserm, Sune" uniqKey="Soukkhaserm S" first="Sune" last="Soukkhaserm">Sune Soukkhaserm</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Wellcome Trust-Mahosot Hospital-Oxford Tropical Medicine Research Collaboration, Microbiology Laboratory, Mahosot Hospital</s1>
<s2>Vientiane</s2>
<s3>LAO</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>20 aut.</sZ>
<sZ>21 aut.</sZ>
</inist:fA14>
<country>Laos</country>
</affiliation>
</author>
<author><name sortKey="Thammavong, Te" sort="Thammavong, Te" uniqKey="Thammavong T" first="Te" last="Thammavong">Te Thammavong</name>
<affiliation wicri:level="1"><inist:fA14 i1="07"><s1>National Blood Transfusion Centre, Lao Red Cross</s1>
<s2>Vientiane</s2>
<s3>LAO</s3>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>Laos</country>
</affiliation>
</author>
<author><name sortKey="Mayxay, Mayfong" sort="Mayxay, Mayfong" uniqKey="Mayxay M" first="Mayfong" last="Mayxay">Mayfong Mayxay</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Wellcome Trust-Mahosot Hospital-Oxford Tropical Medicine Research Collaboration, Microbiology Laboratory, Mahosot Hospital</s1>
<s2>Vientiane</s2>
<s3>LAO</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>20 aut.</sZ>
<sZ>21 aut.</sZ>
</inist:fA14>
<country>Laos</country>
</affiliation>
<affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Centre for Clinical Vaccinology and Tropical Medicine, University of Oxford, Churchill Hospital</s1>
<s2>Oxford</s2>
<s3>GBR</s3>
<sZ>9 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>20 aut.</sZ>
<sZ>21 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
</affiliation>
<affiliation wicri:level="1"><inist:fA14 i1="08"><s1>Faculty of Post Graduate Studies, University of Health Sciences</s1>
<s2>Vientiane</s2>
<s3>LAO</s3>
<sZ>12 aut.</sZ>
</inist:fA14>
<country>Laos</country>
</affiliation>
</author>
<author><name sortKey="Blacksell, Stuart D" sort="Blacksell, Stuart D" uniqKey="Blacksell S" first="Stuart D." last="Blacksell">Stuart D. Blacksell</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Wellcome Trust-Mahosot Hospital-Oxford Tropical Medicine Research Collaboration, Microbiology Laboratory, Mahosot Hospital</s1>
<s2>Vientiane</s2>
<s3>LAO</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>20 aut.</sZ>
<sZ>21 aut.</sZ>
</inist:fA14>
<country>Laos</country>
</affiliation>
<affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Faculty of Tropical Medicine, Mahidol University, 420/6 Rajvithi Rd.</s1>
<s2>Bangkok 10400</s2>
<s3>THA</s3>
<sZ>6 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>20 aut.</sZ>
</inist:fA14>
<country>Thaïlande</country>
</affiliation>
<affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Centre for Clinical Vaccinology and Tropical Medicine, University of Oxford, Churchill Hospital</s1>
<s2>Oxford</s2>
<s3>GBR</s3>
<sZ>9 aut.</sZ>
<sZ>12 aut.</sZ>
<sZ>13 aut.</sZ>
<sZ>20 aut.</sZ>
<sZ>21 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
</affiliation>
</author>
<author><name sortKey="Barnes, Eleanor" sort="Barnes, Eleanor" uniqKey="Barnes E" first="Eleanor" last="Barnes">Eleanor Barnes</name>
<affiliation wicri:level="1"><inist:fA14 i1="09"><s1>The Peter Medawar Building for Pathogen Research, University of Oxford</s1>
<s2>Oxford</s2>
<s3>GBR</s3>
<sZ>14 aut.</sZ>
<sZ>18 aut.</sZ>
<sZ>19 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
</affiliation>
</author>
<author><name sortKey="Parola, Philippe" sort="Parola, Philippe" uniqKey="Parola P" first="Philippe" last="Parola">Philippe Parola</name>
<affiliation wicri:level="1"><inist:fA14 i1="03"><s1>URMITE CNRS-IRD UMR 6236, Faculté de Médecine et de Pharmacie, Université de la Méditerranée</s1>
<s2>Marseille</s2>
<s3>FRA</s3>
<sZ>4 aut.</sZ>
<sZ>15 aut.</sZ>
<sZ>17 aut.</sZ>
</inist:fA14>
<country>France</country>
</affiliation>
</author>
<author><name sortKey="Dussaix, Elisabeth" sort="Dussaix, Elisabeth" uniqKey="Dussaix E" first="Elisabeth" last="Dussaix">Elisabeth Dussaix</name>
<affiliation wicri:level="1"><inist:fA14 i1="04"><s1>AP-HP, National Reference Centre for HAV, Hôpital Paul Brousse</s1>
<s2>Villejuif, 94804</s2>
<s3>FRA</s3>
<sZ>5 aut.</sZ>
<sZ>16 aut.</sZ>
</inist:fA14>
<country>France</country>
</affiliation>
</author>
<author><name sortKey="Raoult, Didier" sort="Raoult, Didier" uniqKey="Raoult D" first="Didier" last="Raoult">Didier Raoult</name>
<affiliation wicri:level="1"><inist:fA14 i1="03"><s1>URMITE CNRS-IRD UMR 6236, Faculté de Médecine et de Pharmacie, Université de la Méditerranée</s1>
<s2>Marseille</s2>
<s3>FRA</s3>
<sZ>4 aut.</sZ>
<sZ>15 aut.</sZ>
<sZ>17 aut.</sZ>
</inist:fA14>
<country>France</country>
</affiliation>
</author>
<author><name sortKey="Humphreys, Isla" sort="Humphreys, Isla" uniqKey="Humphreys I" first="Isla" last="Humphreys">Isla Humphreys</name>
<affiliation wicri:level="1"><inist:fA14 i1="09"><s1>The Peter Medawar Building for Pathogen Research, University of Oxford</s1>
<s2>Oxford</s2>
<s3>GBR</s3>
<sZ>14 aut.</sZ>
<sZ>18 aut.</sZ>
<sZ>19 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
</affiliation>
</author>
<author><name sortKey="Klenerman, Paul" sort="Klenerman, Paul" uniqKey="Klenerman P" first="Paul" last="Klenerman">Paul Klenerman</name>
<affiliation wicri:level="1"><inist:fA14 i1="09"><s1>The Peter Medawar Building for Pathogen Research, University of Oxford</s1>
<s2>Oxford</s2>
<s3>GBR</s3>
<sZ>14 aut.</sZ>
<sZ>18 aut.</sZ>
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<sZ>1 aut.</sZ>
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<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
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<series><title level="j" type="main">Transactions of the Royal Society of Tropical Medicine and Hygiene</title>
<title level="j" type="abbreviated">Trans. r. soc. trop. med. hyg.</title>
<idno type="ISSN">0035-9203</idno>
<imprint><date when="2010">2010</date>
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<idno type="ISSN">0035-9203</idno>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Hepatitis</term>
<term>Hepatitis E virus</term>
<term>Human</term>
<term>Jaundice</term>
<term>Laos</term>
<term>Leptospirosis</term>
<term>Rickettsia typhi</term>
<term>Tropical medicine</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Hépatite</term>
<term>Leptospirose</term>
<term>Ictère</term>
<term>Laos</term>
<term>Médecine tropicale</term>
<term>Homme</term>
<term>Virus hépatite E</term>
<term>Rickettsia typhi</term>
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<front><div type="abstract" xml:lang="en">There is little information on the diverse infectious causes of jaundice and hepatitis in the Asiatic tropics. Serology (hepatitis A, B, C and E, leptospirosis, dengue, rickettsia), antigen tests (dengue), PCR assays (hepatitis A, C and E) and blood cultures (septicaemia) were performed on samples from 392 patients admitted with jaundice or raised transaminases (≥ x 3) to Mahosot Hospital, Vientiane, Laos over 3 years. Conservative definitions suggested diagnoses of dengue (8.4%), rickettsioses (7.3%), leptospirosis (6.8%), hepatitis B (4.9%), hepatitis C (4.9%), community-acquired septicaemia (3.3%) and hepatitis E (1.6%). Although anti-hepatitis A virus (HAV) IgM antibody results suggested that 35.8% of patients had acute HAV infections, anti-HAV IgG antibody avidity and HAV PCR suggested that 82% had polyclonal activation and not acute HAV infections. Scrub typhus, murine typhus or leptospirosis were present in 12.8% of patients and were associated with meningism and relatively low AST and ALT elevation. These patients would be expected to respond to empirical doxycycline therapy which, in the absence of virological diagnosis and treatment, may be an appropriate cost-effective intervention in Lao patients with jaundice/hepatitis.</div>
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<fA08 i1="01" i2="1" l="ENG"><s1>The infective causes of hepatitis and jaundice amongst hospitalised patients in Vientiane, Laos</s1>
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<fC01 i1="01" l="ENG"><s0>There is little information on the diverse infectious causes of jaundice and hepatitis in the Asiatic tropics. Serology (hepatitis A, B, C and E, leptospirosis, dengue, rickettsia), antigen tests (dengue), PCR assays (hepatitis A, C and E) and blood cultures (septicaemia) were performed on samples from 392 patients admitted with jaundice or raised transaminases (≥ x 3) to Mahosot Hospital, Vientiane, Laos over 3 years. Conservative definitions suggested diagnoses of dengue (8.4%), rickettsioses (7.3%), leptospirosis (6.8%), hepatitis B (4.9%), hepatitis C (4.9%), community-acquired septicaemia (3.3%) and hepatitis E (1.6%). Although anti-hepatitis A virus (HAV) IgM antibody results suggested that 35.8% of patients had acute HAV infections, anti-HAV IgG antibody avidity and HAV PCR suggested that 82% had polyclonal activation and not acute HAV infections. Scrub typhus, murine typhus or leptospirosis were present in 12.8% of patients and were associated with meningism and relatively low AST and ALT elevation. These patients would be expected to respond to empirical doxycycline therapy which, in the absence of virological diagnosis and treatment, may be an appropriate cost-effective intervention in Lao patients with jaundice/hepatitis.</s0>
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   |clé=     Pascal:10-0331519
   |texte=   The infective causes of hepatitis and jaundice amongst hospitalised patients in Vientiane, Laos
}}

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	Serveur d'exploration sur les relations entre la France et l'Australie
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The infective causes of hepatitis and jaundice amongst hospitalised patients in Vientiane, Laos

The infective causes of hepatitis and jaundice amongst hospitalised patients in Vientiane, Laos

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