Abstract:Objective To investigate the leptospirosis and bartonella infection among patients with fever of unknown origin (FUO) in Yunnan Province. Methods For the patients with FUO, serum leptospirosis antibody was tested by microscope agglutination test (MAT), and serum Bartonella henselae(B. henselae) and Bartonella Quintana (B. quintana) IgG antibodies were tested by indirect immunofluorescence assay (IFA). Results Totally, sera from 232 patients with FUO were tested. The infection rate of B. henselae (30.17%) was higher than those of B. quintana (18.10%) and leptospirosis (4.74%). The mixed infection rate of B. henselae and B. quintana (14.22%) was higher than that of leptospirosis and B. henselae (2.16%), as well as that of leptospirosis and B. quintana (0.86%). One case had antibodies for leptospirosis, B. henselae and B. quintana. Conclusions Some patients with FUO are actually infected with leptospirosis, and/or Bartonella henselae and/or Bartonella quintana. The infection rates are different, and mixed infection is common. It is necessary to carry out leptospirosis and bartonella screening to diagnose fever of unknown origin.
王跃兵,向东,杨发莲,彭海燕,于彬彬,杨慧. 不明原因发热病人钩端螺旋体和巴尔通体感染调查[J]. 实用预防医学, 2015, 22(4): 430-431.
WANG Yue-bing, YANG Xiang-dong, YANG Fa-lian, PENG Hai-yan, YU Bin-bin, YANG Hui. Investigation of leptospirosis and bartonella infection in patients with fever of unknown origin. , 2015, 22(4): 430-431.