Clinical Diagnosis and Geographic Distribution of Leptospirosis, Thailand

Vanaporn Wuthiekanun, Nisa Sirisukkarn, Prayad Daengsupa, Prangyong Sakaraserane, Amornwadee Sangkakam, Wirongrong Chierakul, Lee D. Smythe, Meegan L. Symonds, M. F. Dohnt, Andrew Slack,

Emerging infectious diseases · 2007 · 78 citations · 4 references

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Abstract

We defined the positive predictive accuracy of a hospital-based clinical diagnosis of leptospirosis in 9 provinces across Thailand. Of 700 suspected cases, 143 (20%) were confirmed by laboratory testing. Accuracy of clinical diagnosis varied from 0% to 50% between the provinces and was highest during the rainy season. Most confirmed cases occurred in the north and northeast regions of the country.

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