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Etiological characterization of acute undifferentiated febrile illness in Apartadó and Villeta municipalities, Colombia, during COVID-19 pandemic.
Silva-Ramos, Carlos Ramiro; Gil-Mora, Juliana; Serna-Rivera, Cristian C; Martínez Díaz, Heidy-C; Restrepo-López, Nicaela; Agudelo-Flórez, Piedad; Arboleda, Margarita; Díaz, Francisco J; Faccini-Martínez, Álvaro A; Hidalgo, Marylin; Melby, Peter C; Aguilar, Patricia V; Cabada, Miguel M; Tobón-Castaño, Alberto; Rodas, Juan David.
Afiliación
  • Silva-Ramos CR; Grupo de Enfermedades Infecciosas, Departamento de Microbiología, Facultad de Ciencias, Pontificia Universidad Javeriana, Bogotá, Colombia.
  • Gil-Mora J; Grupo de Enfermedades Infecciosas, Departamento de Microbiología, Facultad de Ciencias, Pontificia Universidad Javeriana, Bogotá, Colombia.
  • Serna-Rivera CC; Grupo de Investigación en Ciencias Veterinarias Centauro, Universidad de Antioquia, Medellín, Colombia.
  • Martínez Díaz HC; Grupo de Enfermedades Infecciosas, Departamento de Microbiología, Facultad de Ciencias, Pontificia Universidad Javeriana, Bogotá, Colombia.
  • Restrepo-López N; Grupo de Investigación en Ciencias Veterinarias Centauro, Universidad de Antioquia, Medellín, Colombia.
  • Agudelo-Flórez P; Grupo de Investigación en Ciencias Básicas, Escuela de Graduados, Universidad CES, Medellín, Colombia.
  • Arboleda M; Instituto Colombiano de Medicina Tropical, Universidad CES, Medellín, Colombia.
  • Díaz FJ; Grupo de Inmunovirología, Universidad de Antioquia, Medellin,Colombia.
  • Faccini-Martínez ÁA; Servicio de Infectología, Hospital Militar Central, Bogotá, Colombia.
  • Hidalgo M; Servicios y Asesorías en Infectología - SAI, Bogotá, Colombia.
  • Melby PC; Facultad de Medicina, Universidad Militar Nueva Granada, Bogotà, Colombia.
  • Aguilar PV; Grupo de Enfermedades Infecciosas, Departamento de Microbiología, Facultad de Ciencias, Pontificia Universidad Javeriana, Bogotá, Colombia.
  • Cabada MM; Division of Infectious Diseases, Department of Internal Medicine, University of Texas Medical Branch, Galveston, Texas, USA.
  • Tobón-Castaño A; Center for Tropical Diseases, University of Texas Medical Branch, Galveston, Texas, USA.
  • Rodas JD; Center for Tropical Diseases, University of Texas Medical Branch, Galveston, Texas, USA.
Infez Med ; 31(4): 517-532, 2023.
Article en En | MEDLINE | ID: mdl-38075419
Background: Acute undifferentiated febrile illness (AUFI) is one of the leading causes of illness in tropical regions. Although malaria is the most important cause, other pathogens such as Dengue (DENV), Leptospira and recently, Coronavirus Disease 2019 (COVID-19) have gained importance. In Colombia, few studies aimed to identify the etiology of AUFI. Most of them performed in Apartadó and Villeta municipalities, identifying the active circulation of several pathogens. Thus, we conducted a cross-sectional study in these municipalities to characterize the etiologies of AUFI during COVID-19 pandemic. Methods: An active surveillance was conducted between September and December 2021 in local hospitals of Apartadó and Villeta municipalities. Febrile patients were enrolled after voluntarily agreeing to participate in the study. Ten different etiologies were evaluated through direct, serological, molecular and rapid diagnostic methods. Results: In Apartadó a confirmed etiology was found in 60% of subjects, DENV (25%) being the most frequent, followed by leptospirosis (16.7%), malaria (10%), COVID-19 (8.3%), spotted fever group (SFG) rickettsiosis (6.7%) and Chikungunya (1.7%). In Villeta, a specific etiology was confirmed in 55.4% of patients, of which SFG rickettsiosis (39.3%) was the most frequent, followed by leptospirosis (21.4%), DENV (3.6%) and malaria (1.8%). No cases due to Mayaro, Yellow Fever, Oropouche and Venezuelan Equine Encephalitis viruses were detected. Conclusion: We confirm the relevance of dengue fever, leptospirosis, SFG rickettsiosis, COVID-19 and malaria as causes of AUFI in the municipality of Apartadó, and highlight the great importance of SFG rickettsiosis as the main cause of AUFI in the municipality of Villeta.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE País/Región como asunto: America do sul / Colombia Idioma: En Revista: Infez Med Asunto de la revista: ALERGIA E IMUNOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Colombia Pais de publicación: Italia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE País/Región como asunto: America do sul / Colombia Idioma: En Revista: Infez Med Asunto de la revista: ALERGIA E IMUNOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Colombia Pais de publicación: Italia