[ XXXX typhus in Tenerife. Clinicoepidemiological study and differential clinical features with @entity4002 ].

@entity1 @entity4002 @entity1910 @entity882 @entity19 @entity11101 @entity35 @entity10
BACKGROUND AND OBJECTIVE: Our aim was to conduct a study to define the clinical and epidemiological characteristics of @entity1 with @entity19 typhus in Tenerife island (Canary islands, Spain). Moreover, we investigated the differential clinical features of this disease with regard to @entity4002 . @entity1 AND METHOD: 5-year prospective study of @entity1 with @entity19 typhus (1998-2002) admited in a reference hospital in Tenerife, Spain. RESULTS: Thirty two @entity1 were included. @entity11101 bite and @entity35 exposure were iuncommon (6.25%). The monthly distribution showed a peak of incidence in January, August and September, without a clear seasonal prevalence. Fever and @entity10 were the most common clinical features. @entity1910 was present in 28% of the cases. Both an increase in liver enzyme levels (88%) and @entity882 (37.5%) were the most relevant laboratory findings. Organ complications were uncommon (18.75%). Antibiotics were administered to 90% of @entity1 and cure was achieved in all them. Compared with @entity4002 , @entity1 with @entity19 typhus more commonly had @entity1910 (p = 0.006) and @entity882 (p < 0.001). CONCLUSION: @entity19 typhus is an emerging rickettsiosis in Tenerife and must be considered in the differential diagnosis with @entity4002 .
