Clinical Case Definitions for Classification of Intrathoracic Tuberculosis in Children: An Update.
Identifieur interne : 002765 ( PubMed/Curation ); précédent : 002764; suivant : 002766Clinical Case Definitions for Classification of Intrathoracic Tuberculosis in Children: An Update.
Auteurs : Stephen M. Graham [Australie] ; Luis E. Cuevas [Royaume-Uni] ; Patrick Jean-Philippe ; Renee Browning [États-Unis] ; Martina Casenghi [Suisse] ; Anne K. Detjen [France] ; Devasena Gnanashanmugam [États-Unis] ; Anneke C. Hesseling [Afrique du Sud] ; Beate Kampmann [Gambie] ; Anna Mandalakas [États-Unis] ; Ben J. Marais [Australie] ; Marco Schito ; Hans M L. Spiegel ; Jeffrey R. Starke [États-Unis] ; Carol Worrell [États-Unis] ; Heather J. Zar [Afrique du Sud]Source :
- Clinical infectious diseases : an official publication of the Infectious Diseases Society of America [ 1537-6591 ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
- diagnostic : Tuberculose, Tuberculose pulmonaire.
- microbiologie : Tuberculose, Tuberculose pulmonaire.
- Consensus, Enfant, Enfant d'âge préscolaire, Humains, Mâle, Normes de référence, Thorax, Tuberculose.
English descriptors
- KwdEn :
- MESH :
- classification : Tuberculosis.
- diagnosis : Tuberculosis, Tuberculosis, Pulmonary.
- microbiology : Tuberculosis, Tuberculosis, Pulmonary.
- Child, Child, Preschool, Consensus, Humans, Male, Reference Standards, Thorax.
Abstract
Consensus case definitions for childhood tuberculosis have been proposed by an international expert panel, aiming to standardize the reporting of cases in research focusing on the diagnosis of intrathoracic tuberculosis in children. These definitions are intended for tuberculosis diagnostic evaluation studies of symptomatic children with clinical suspicion of intrathoracic tuberculosis, and were not intended to predefine inclusion criteria into such studies. Feedback from researchers suggested that further clarification was required and that these case definitions could be further improved. Particular concerns were the perceived complexity and overlap of some case definitions, as well as the potential exclusion of children with acute onset of symptoms or less severe disease. The updated case definitions proposed here incorporate a number of key changes that aim to reduce complexity and improve research performance, while maintaining the original focus on symptomatic children suspected of having intrathoracic tuberculosis. The changes proposed should enhance harmonized classification for intrathoracic tuberculosis disease in children across studies, resulting in greater comparability and the much-needed ability to pool study results.
DOI: 10.1093/cid/civ581
PubMed: 26409281
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Patrick Jean-Philippe<affiliation><nlm:affiliation>Henry M. Jackson Foundation.</nlm:affiliation><wicri:noCountry code="no comma">Henry M. Jackson Foundation.</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Henry M. Jackson Foundation.</nlm:affiliation><wicri:noCountry code="no comma">Henry M. Jackson Foundation.</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Henry M. Jackson Foundation.</nlm:affiliation><wicri:noCountry code="no comma">Henry M. Jackson Foundation.</wicri:noCountry></affiliation>Le document en format XML
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Graham</name><affiliation wicri:level="1"><nlm:affiliation>Centre for International Child Health, University of Melbourne Department of Paediatrics and Murdoch Childrens Research Institute, Royal Children's Hospital, Australia International Union Against Tuberculosis and Lung Disease, Paris, France Burnet Institute, Melbourne, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for International Child Health, University of Melbourne Department of Paediatrics and Murdoch Childrens Research Institute, Royal Children's Hospital, Australia International Union Against Tuberculosis and Lung Disease, Paris, France Burnet Institute, Melbourne</wicri:regionArea></affiliation></author><author><name sortKey="Cuevas, Luis E" sort="Cuevas, Luis E" uniqKey="Cuevas L" first="Luis E" last="Cuevas">Luis E. 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Jackson Foundation.</wicri:noCountry></affiliation></author><author><name sortKey="Browning, Renee" sort="Browning, Renee" uniqKey="Browning R" first="Renee" last="Browning">Renee Browning</name><affiliation wicri:level="2"><nlm:affiliation>Division of AIDS, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Division of AIDS, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville</wicri:cityArea></affiliation></author><author><name sortKey="Casenghi, Martina" sort="Casenghi, Martina" uniqKey="Casenghi M" first="Martina" last="Casenghi">Martina Casenghi</name><affiliation wicri:level="1"><nlm:affiliation>Médicins Sans Frontières, Geneva, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Médicins Sans Frontières, Geneva</wicri:regionArea></affiliation></author><author><name sortKey="Detjen, Anne K" sort="Detjen, Anne K" uniqKey="Detjen A" first="Anne K" last="Detjen">Anne K. Detjen</name><affiliation wicri:level="1"><nlm:affiliation>International Union Against Tuberculosis and Lung Disease, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>International Union Against Tuberculosis and Lung Disease, Paris</wicri:regionArea></affiliation></author><author><name sortKey="Gnanashanmugam, Devasena" sort="Gnanashanmugam, Devasena" uniqKey="Gnanashanmugam D" first="Devasena" last="Gnanashanmugam">Devasena Gnanashanmugam</name><affiliation wicri:level="2"><nlm:affiliation>Division of AIDS, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Division of AIDS, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville</wicri:cityArea></affiliation></author><author><name sortKey="Hesseling, Anneke C" sort="Hesseling, Anneke C" uniqKey="Hesseling A" first="Anneke C" last="Hesseling">Anneke C. Hesseling</name><affiliation wicri:level="1"><nlm:affiliation>Desmond Tutu Tuberculosis Centre, Department of Pediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Desmond Tutu Tuberculosis Centre, Department of Pediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town</wicri:regionArea></affiliation></author><author><name sortKey="Kampmann, Beate" sort="Kampmann, Beate" uniqKey="Kampmann B" first="Beate" last="Kampmann">Beate Kampmann</name><affiliation wicri:level="1"><nlm:affiliation>Department of Paediatrics, Imperial College London, United Kingdom Vaccinology Theme, MRC Unit, The Gambia.</nlm:affiliation><country xml:lang="fr">Gambie</country><wicri:regionArea>Department of Paediatrics, Imperial College London, United Kingdom Vaccinology Theme, MRC Unit</wicri:regionArea></affiliation></author><author><name sortKey="Mandalakas, Anna" sort="Mandalakas, Anna" uniqKey="Mandalakas A" first="Anna" last="Mandalakas">Anna Mandalakas</name><affiliation wicri:level="3"><nlm:affiliation>Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston.</nlm:affiliation><country>États-Unis</country><placeName><settlement type="city">Houston</settlement><region type="state">Texas</region></placeName><wicri:orgArea>Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital</wicri:orgArea></affiliation></author><author><name sortKey="Marais, Ben J" sort="Marais, Ben J" uniqKey="Marais B" first="Ben J" last="Marais">Ben J. Marais</name><affiliation wicri:level="1"><nlm:affiliation>Marie Bashir Institute for Infectious Diseases and Biosecurity) and the Sydney Emerging Infectious Diseases and Biosecurity Institute and The Children's Hospital at Westmead, Sydney Medical School, University of Sydney, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Marie Bashir Institute for Infectious Diseases and Biosecurity) and the Sydney Emerging Infectious Diseases and Biosecurity Institute and The Children's Hospital at Westmead, Sydney Medical School, University of Sydney</wicri:regionArea></affiliation></author><author><name sortKey="Schito, Marco" sort="Schito, Marco" uniqKey="Schito M" first="Marco" last="Schito">Marco Schito</name><affiliation><nlm:affiliation>Henry M. Jackson Foundation.</nlm:affiliation><wicri:noCountry code="no comma">Henry M. Jackson Foundation.</wicri:noCountry></affiliation></author><author><name sortKey="Spiegel, Hans M L" sort="Spiegel, Hans M L" uniqKey="Spiegel H" first="Hans M L" last="Spiegel">Hans M L. Spiegel</name><affiliation><nlm:affiliation>Henry M. Jackson Foundation.</nlm:affiliation><wicri:noCountry code="no comma">Henry M. Jackson Foundation.</wicri:noCountry></affiliation></author><author><name sortKey="Starke, Jeffrey R" sort="Starke, Jeffrey R" uniqKey="Starke J" first="Jeffrey R" last="Starke">Jeffrey R. Starke</name><affiliation wicri:level="3"><nlm:affiliation>Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston.</nlm:affiliation><country>États-Unis</country><placeName><settlement type="city">Houston</settlement><region type="state">Texas</region></placeName><wicri:orgArea>Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital</wicri:orgArea></affiliation></author><author><name sortKey="Worrell, Carol" sort="Worrell, Carol" uniqKey="Worrell C" first="Carol" last="Worrell">Carol Worrell</name><affiliation wicri:level="2"><nlm:affiliation>Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Rockville, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Rockville</wicri:cityArea></affiliation></author><author><name sortKey="Zar, Heather J" sort="Zar, Heather J" uniqKey="Zar H" first="Heather J" last="Zar">Heather J. Zar</name><affiliation wicri:level="1"><nlm:affiliation>Department of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital, MRC Unit on Child and Adolescent Health, University of Cape Town, South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Department of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital, MRC Unit on Child and Adolescent Health, University of Cape Town</wicri:regionArea></affiliation></author></analytic><series><title level="j">Clinical infectious diseases : an official publication of the Infectious Diseases Society of America</title><idno type="eISSN">1537-6591</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Child</term><term>Child, Preschool</term><term>Consensus</term><term>Humans</term><term>Male</term><term>Reference Standards</term><term>Thorax</term><term>Tuberculosis (classification)</term><term>Tuberculosis (diagnosis)</term><term>Tuberculosis (microbiology)</term><term>Tuberculosis, Pulmonary (diagnosis)</term><term>Tuberculosis, Pulmonary (microbiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Consensus</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Humains</term><term>Mâle</term><term>Normes de référence</term><term>Thorax</term><term>Tuberculose ()</term><term>Tuberculose (diagnostic)</term><term>Tuberculose (microbiologie)</term><term>Tuberculose pulmonaire (diagnostic)</term><term>Tuberculose pulmonaire (microbiologie)</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Tuberculosis</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Tuberculosis</term><term>Tuberculosis, Pulmonary</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Tuberculose</term><term>Tuberculose pulmonaire</term></keywords><keywords scheme="MESH" qualifier="microbiologie" xml:lang="fr"><term>Tuberculose</term><term>Tuberculose pulmonaire</term></keywords><keywords scheme="MESH" qualifier="microbiology" xml:lang="en"><term>Tuberculosis</term><term>Tuberculosis, Pulmonary</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Child</term><term>Child, Preschool</term><term>Consensus</term><term>Humans</term><term>Male</term><term>Reference Standards</term><term>Thorax</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Consensus</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Humains</term><term>Mâle</term><term>Normes de référence</term><term>Thorax</term><term>Tuberculose</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Consensus case definitions for childhood tuberculosis have been proposed by an international expert panel, aiming to standardize the reporting of cases in research focusing on the diagnosis of intrathoracic tuberculosis in children. These definitions are intended for tuberculosis diagnostic evaluation studies of symptomatic children with clinical suspicion of intrathoracic tuberculosis, and were not intended to predefine inclusion criteria into such studies. Feedback from researchers suggested that further clarification was required and that these case definitions could be further improved. Particular concerns were the perceived complexity and overlap of some case definitions, as well as the potential exclusion of children with acute onset of symptoms or less severe disease. The updated case definitions proposed here incorporate a number of key changes that aim to reduce complexity and improve research performance, while maintaining the original focus on symptomatic children suspected of having intrathoracic tuberculosis. The changes proposed should enhance harmonized classification for intrathoracic tuberculosis disease in children across studies, resulting in greater comparability and the much-needed ability to pool study results.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26409281</PMID><DateCreated><Year>2015</Year><Month>09</Month><Day>27</Day></DateCreated><DateCompleted><Year>2016</Year><Month>07</Month><Day>11</Day></DateCompleted><DateRevised><Year>2017</Year><Month>09</Month><Day>22</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1537-6591</ISSN><JournalIssue CitedMedium="Internet"><Volume>61Suppl 3</Volume><PubDate><Year>2015</Year><Month>Oct</Month><Day>15</Day></PubDate></JournalIssue><Title>Clinical infectious diseases : an official publication of the Infectious Diseases Society of America</Title><ISOAbbreviation>Clin. Infect. Dis.</ISOAbbreviation></Journal><ArticleTitle>Clinical Case Definitions for Classification of Intrathoracic Tuberculosis in Children: An Update.</ArticleTitle><Pagination><MedlinePgn>S179-87</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1093/cid/civ581</ELocationID><Abstract><AbstractText>Consensus case definitions for childhood tuberculosis have been proposed by an international expert panel, aiming to standardize the reporting of cases in research focusing on the diagnosis of intrathoracic tuberculosis in children. These definitions are intended for tuberculosis diagnostic evaluation studies of symptomatic children with clinical suspicion of intrathoracic tuberculosis, and were not intended to predefine inclusion criteria into such studies. Feedback from researchers suggested that further clarification was required and that these case definitions could be further improved. Particular concerns were the perceived complexity and overlap of some case definitions, as well as the potential exclusion of children with acute onset of symptoms or less severe disease. The updated case definitions proposed here incorporate a number of key changes that aim to reduce complexity and improve research performance, while maintaining the original focus on symptomatic children suspected of having intrathoracic tuberculosis. The changes proposed should enhance harmonized classification for intrathoracic tuberculosis disease in children across studies, resulting in greater comparability and the much-needed ability to pool study results.</AbstractText><CopyrightInformation>© The Author 2015. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Graham</LastName><ForeName>Stephen M</ForeName><Initials>SM</Initials><AffiliationInfo><Affiliation>Centre for International Child Health, University of Melbourne Department of Paediatrics and Murdoch Childrens Research Institute, Royal Children's Hospital, Australia International Union Against Tuberculosis and Lung Disease, Paris, France Burnet Institute, Melbourne, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cuevas</LastName><ForeName>Luis E</ForeName><Initials>LE</Initials><AffiliationInfo><Affiliation>Department of Clinical Sciences, Liverpool School of Tropical Medicine, United Kingdom.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jean-Philippe</LastName><ForeName>Patrick</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Henry M. Jackson Foundation.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Browning</LastName><ForeName>Renee</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Division of AIDS, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, Maryland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Casenghi</LastName><ForeName>Martina</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Médicins Sans Frontières, Geneva, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Detjen</LastName><ForeName>Anne K</ForeName><Initials>AK</Initials><AffiliationInfo><Affiliation>International Union Against Tuberculosis and Lung Disease, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gnanashanmugam</LastName><ForeName>Devasena</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Division of AIDS, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, Maryland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hesseling</LastName><ForeName>Anneke C</ForeName><Initials>AC</Initials><AffiliationInfo><Affiliation>Desmond Tutu Tuberculosis Centre, Department of Pediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kampmann</LastName><ForeName>Beate</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of Paediatrics, Imperial College London, United Kingdom Vaccinology Theme, MRC Unit, The Gambia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mandalakas</LastName><ForeName>Anna</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Marais</LastName><ForeName>Ben J</ForeName><Initials>BJ</Initials><AffiliationInfo><Affiliation>Marie Bashir Institute for Infectious Diseases and Biosecurity) and the Sydney Emerging Infectious Diseases and Biosecurity Institute and The Children's Hospital at Westmead, Sydney Medical School, University of Sydney, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schito</LastName><ForeName>Marco</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Henry M. Jackson Foundation.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Spiegel</LastName><ForeName>Hans M L</ForeName><Initials>HM</Initials><AffiliationInfo><Affiliation>Henry M. Jackson Foundation.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Starke</LastName><ForeName>Jeffrey R</ForeName><Initials>JR</Initials><AffiliationInfo><Affiliation>Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Worrell</LastName><ForeName>Carol</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Rockville, Maryland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zar</LastName><ForeName>Heather J</ForeName><Initials>HJ</Initials><AffiliationInfo><Affiliation>Department of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital, MRC Unit on Child and Adolescent Health, University of Cape Town, South Africa.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>MC_EX_MR/K011944/1</GrantID><Agency>Medical Research Council</Agency><Country>United Kingdom</Country></Grant><Grant><GrantID>SRF-2009-02-07</GrantID><Agency>Department of Health</Agency><Country>United Kingdom</Country></Grant><Grant><GrantID>MC_UP_A900_1122</GrantID><Agency>Medical Research Council</Agency><Country>United Kingdom</Country></Grant><Grant><GrantID>HHSN272200800014C</GrantID><Acronym>AI</Acronym><Agency>NIAID NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>HHSN272200800014C</GrantID><Agency>PHS HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016446">Consensus Development Conference</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Clin Infect Dis</MedlineTA><NlmUniqueID>9203213</NlmUniqueID><ISSNLinking>1058-4838</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Lancet Infect Dis. 2010 Nov;10(11):803-12</RefSource><PMID Version="1">20822958</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Clin Infect Dis. 2013 Aug;57(3):e18-21</RefSource><PMID Version="1">23580738</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Infect Dis. 2012 Dec 15;206(12):1809-15</RefSource><PMID Version="1">23033147</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Expert Rev Anti Infect Ther. 2010 Mar;8(3):277-88</RefSource><PMID Version="1">20192682</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Clin Infect Dis. 2015 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