{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T19:55:58Z","timestamp":1780084558308,"version":"3.54.0"},"reference-count":40,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2017,2,1]],"date-time":"2017-02-01T00:00:00Z","timestamp":1485907200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,2,1]],"date-time":"2017-02-01T00:00:00Z","timestamp":1485907200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2016,1,2]],"date-time":"2016-01-02T00:00:00Z","timestamp":1451692800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Kaohsiung Municipal Hsaio-Kang Hospital, Kaohsiung Medical University","award":["KMHK-96-013"],"award-info":[{"award-number":["KMHK-96-013"]}]},{"DOI":"10.13039\/501100001868","name":"National Science Council","doi-asserted-by":"crossref","award":["NSC 97-2321-B-037-004"],"award-info":[{"award-number":["NSC 97-2321-B-037-004"]}],"id":[{"id":"10.13039\/501100001868","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Microbiology, Immunology and Infection"],"published-print":{"date-parts":[[2017,2]]},"DOI":"10.1016\/j.jmii.2014.12.001","type":"journal-article","created":{"date-parts":[[2014,12,26]],"date-time":"2014-12-26T09:01:15Z","timestamp":1419584475000},"page":"104-111","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":22,"title":["Identification of factors for physicians to facilitate early differential diagnosis of scrub typhus, murine typhus, and Q fever from dengue fever in Taiwan"],"prefix":"10.1016","volume":"50","author":[{"given":"Ko","family":"Chang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nan-Yao","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen-Chien","family":"Ko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jih-Jin","family":"Tsai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1233-904X","authenticated-orcid":false,"given":"Wei-Ru","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9258-0692","authenticated-orcid":false,"given":"Tun-Chieh","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7423-6783","authenticated-orcid":false,"given":"Po-Liang","family":"Lu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8667-4844","authenticated-orcid":false,"given":"Yen-Hsu","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jmii.2014.12.001_bib1","first-page":"794","article-title":"Scrub typhus in the Western Pacific region","volume":"26","author":"Silpapojakul","year":"1997","journal-title":"Ann Acad Med Singapore"},{"key":"10.1016\/j.jmii.2014.12.001_bib2","doi-asserted-by":"crossref","first-page":"536","DOI":"10.4269\/ajtmh.2003.68.536","article-title":"Differentiating dengue virus infection from scrub typhus in Thai adults with fever","volume":"68","author":"Watt","year":"2003","journal-title":"Am J Trop Med Hyg"},{"key":"10.1016\/j.jmii.2014.12.001_bib3","doi-asserted-by":"crossref","first-page":"1493","DOI":"10.1086\/425365","article-title":"Rickettsioses and the international traveler","volume":"39","author":"Jensenius","year":"2004","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.jmii.2014.12.001_bib4","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1186\/1471-2334-13-77","article-title":"Clinical and laboratory features that discriminate dengue from other febrile illnesses: a diagnostic accuracy study in Rio de Janeiro, Brazil","volume":"13","author":"Daumas","year":"2013","journal-title":"BMC Infect Dis"},{"key":"10.1016\/j.jmii.2014.12.001_bib5","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1016\/j.jcv.2005.06.002","article-title":"Distinguishing dengue fever from other infections on the basis of simple clinical and laboratory features: application of logistic regression analysis","volume":"35","author":"Chadwick","year":"2006","journal-title":"J Clin Virol"},{"key":"10.1016\/j.jmii.2014.12.001_bib6","first-page":"295","article-title":"Acute Q fever as a cause of acute febrile illness of unknown origin in Taiwan: report of seven cases","volume":"96","author":"Ko","year":"1997","journal-title":"J Formos Med Assoc"},{"key":"10.1016\/j.jmii.2014.12.001_bib7","first-page":"266","article-title":"Characteristics of a dengue hemorrhagic fever outbreak in 2001 in Kaohsiung","volume":"37","author":"Lai","year":"2004","journal-title":"J Microbiol Immunol Infect"},{"key":"10.1016\/j.jmii.2014.12.001_bib8","first-page":"657","article-title":"A study of febrile illnesses on the Thai\u2013Myanmar border: predictive factors of rickettsioses","volume":"35","author":"PicKard","year":"2004","journal-title":"Southeast Asian J Trop Med Public Health"},{"key":"10.1016\/j.jmii.2014.12.001_bib9","doi-asserted-by":"crossref","first-page":"1148","DOI":"10.4269\/ajtmh.2007.76.1148","article-title":"Acute respiratory distress syndrome in scrub typhus","volume":"76","author":"Wang","year":"2007","journal-title":"Am J Trop Med Hyg"},{"key":"10.1016\/j.jmii.2014.12.001_bib10","first-page":"240","article-title":"Serious complications in scrub typhus","volume":"31","author":"Tsay","year":"1998","journal-title":"J Microbiol Immunol Infect"},{"key":"10.1016\/j.jmii.2014.12.001_bib11","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1016\/S1873-9598(10)70005-3","article-title":"Radiologic pulmonary findings, clinical manifestations and serious complications in scrub typhus: experiences from a teaching hospital in eastern Taiwan","volume":"3","author":"Wu","year":"2009","journal-title":"Int J Gerontol"},{"key":"10.1016\/j.jmii.2014.12.001_bib12","doi-asserted-by":"crossref","first-page":"141","DOI":"10.4269\/ajtmh.2012.11-0465","article-title":"Murine typhus in southern Taiwan between 1992 and 2009","volume":"87","author":"Chang","year":"2012","journal-title":"Am J Trop Med Hyg"},{"key":"10.1016\/j.jmii.2014.12.001_bib13","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1016\/j.diagmicrobio.2007.09.008","article-title":"Acute Q fever in southern Taiwan: atypical manifestations of hyperbilirubinemia and prolonged fever","volume":"60","author":"Chang","year":"2008","journal-title":"Diagn Microbiol Infect Dis"},{"key":"10.1016\/j.jmii.2014.12.001_bib14","first-page":"121","article-title":"Clinical characteristic of dengue and dengue hemorrhagic fever in a medical center of southern Taiwan during the 2002 epidemic","volume":"39","author":"Lee","year":"2006","journal-title":"J Microbiol Immunol Infect"},{"key":"10.1016\/j.jmii.2014.12.001_bib15","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1016\/S0929-6646(09)60080-2","article-title":"Epidemiology of acute Q fever, scrub typhus, and murine typhus, and identification of their clinical characteristics compared to patients with acute febrile illness in southern Taiwan","volume":"108","author":"Lai","year":"2009","journal-title":"J Formos Med Assoc"},{"key":"10.1016\/j.jmii.2014.12.001_bib16","first-page":"385","article-title":"Clinical manifestations and complications of rickettsiosis in southern Taiwan","volume":"101","author":"Lee","year":"2002","journal-title":"J Formos Med Assoc"},{"key":"10.1016\/j.jmii.2014.12.001_bib17","doi-asserted-by":"crossref","first-page":"212","DOI":"10.7883\/yoken.63.212","article-title":"Q fever outbreak in a small village, Taiwan","volume":"63","author":"Hung","year":"2010","journal-title":"Jpn J Infect Dis"},{"key":"10.1016\/j.jmii.2014.12.001_bib18","doi-asserted-by":"crossref","first-page":"477","DOI":"10.4269\/ajtmh.2003.68.477","article-title":"Prevalence of relative bradycardia in Orientia tsutsugamushi infection","volume":"68","author":"Aronoff","year":"2003","journal-title":"Am J Trop Med Hyg"},{"key":"10.1016\/j.jmii.2014.12.001_bib19","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1016\/S0929-6646(09)60420-4","article-title":"Dengue fever scoring system: new strategy for the early detection of acute dengue virus infection in Taiwan","volume":"108","author":"Chang","year":"2009","journal-title":"J Formos Med Assoc"},{"key":"10.1016\/j.jmii.2014.12.001_bib20","first-page":"1","article-title":"Q fever in Taiwan","volume":"54","author":"Chen","year":"1994","journal-title":"Zhonghua Yi Xue Za Zhi (Taipei)"},{"key":"10.1016\/j.jmii.2014.12.001_bib21","first-page":"166","article-title":"Surveillance of scrub typhus in Taiwan","volume":"26","author":"Chen","year":"1993","journal-title":"Zhonghua Min Guo Wei Sheng Wu Ji Mian Yi Xue Za Zhi"},{"key":"10.1016\/j.jmii.2014.12.001_bib22","doi-asserted-by":"crossref","first-page":"740","DOI":"10.3201\/eid1004.030532","article-title":"Murine typhus with renal involvement in Canary Islands, Spain","volume":"10","author":"Hernandez Cabrera","year":"2004","journal-title":"Emerg Infect Dis"},{"key":"10.1016\/j.jmii.2014.12.001_bib23","doi-asserted-by":"crossref","first-page":"e338","DOI":"10.1371\/journal.pntd.0000338","article-title":"Warmer weather linked to tick attack and emergence of severe rickettsioses","volume":"2","author":"Parola","year":"2008","journal-title":"PLoS Negl Trop Dis"},{"key":"10.1016\/j.jmii.2014.12.001_bib24","doi-asserted-by":"crossref","first-page":"4069","DOI":"10.1016\/j.scitotenv.2010.05.021","article-title":"Lagged temperature effect with mosquito transmission potential explains dengue variability in southern Taiwan: insights from a statistical analysis","volume":"408","author":"Chen","year":"2010","journal-title":"Sci Total Environ"},{"key":"10.1016\/j.jmii.2014.12.001_bib25","doi-asserted-by":"crossref","first-page":"2224","DOI":"10.1016\/j.scitotenv.2008.11.034","article-title":"Higher temperature and urbanization affect the spatial patterns of dengue fever transmission in subtropical Taiwan","volume":"407","author":"Wu","year":"2009","journal-title":"Sci Total Environ"},{"key":"10.1016\/j.jmii.2014.12.001_bib26","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1186\/1471-2334-10-108","article-title":"Clinical and laboratory findings associated with severe scrub typhus","volume":"10","author":"Kim","year":"2010","journal-title":"BMC Infect Dis"},{"key":"10.1016\/j.jmii.2014.12.001_bib27","doi-asserted-by":"crossref","first-page":"162","DOI":"10.4269\/ajtmh.2002.67.162","article-title":"Scrub typhus in Japan: epidemiology and clinical features of cases reported in 1998","volume":"67","author":"Ogawa","year":"2002","journal-title":"Am J Trop Med Hyg"},{"key":"10.1016\/j.jmii.2014.12.001_bib28","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1128\/JCM.01927-08","article-title":"Association of high Orientia tsutsugamushi DNA loads with disease of greater severity in adults with scrub typhus","volume":"47","author":"Sonthayanon","year":"2009","journal-title":"J Clin Microbiol"},{"key":"10.1016\/j.jmii.2014.12.001_bib29","doi-asserted-by":"crossref","first-page":"1365","DOI":"10.1001\/jama.1991.03470100057033","article-title":"Clinical and laboratory features of murine typhus in south Texas, 1980 through 1987","volume":"266","author":"Dumler","year":"1991","journal-title":"JAMA"},{"key":"10.1016\/j.jmii.2014.12.001_bib30","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1001\/archpedi.155.3.396","article-title":"Clinical, laboratory, and epidemiologic features of murine typhus in 97 Texas children","volume":"155","author":"Whiteford","year":"2001","journal-title":"Arch Pediatr Adolesc Med"},{"key":"10.1016\/j.jmii.2014.12.001_bib31","first-page":"337","article-title":"Acute Q fever in Israel: clinical and laboratory study of 100 hospitalized patients","volume":"8","author":"Ergas","year":"2006","journal-title":"Isr Med Assoc J"},{"key":"10.1016\/j.jmii.2014.12.001_bib32","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1097\/00005792-200003000-00005","article-title":"Q fever 1985-1998. Clinical and epidemiologic features of 1,383 infections","volume":"79","author":"Raoult","year":"2000","journal-title":"Medicine (Baltimore)"},{"key":"10.1016\/j.jmii.2014.12.001_bib33","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1016\/0002-9343(92)90173-9","article-title":"Epidemiologic features and clinical presentation of acute Q fever in hospitalized patients: 323 French cases","volume":"93","author":"Tissot Dupont","year":"1992","journal-title":"Am J Med"},{"key":"10.1016\/j.jmii.2014.12.001_bib34","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1086\/380798","article-title":"Effect of sex on Coxiella burnetii infection: protective role of 17 beta-estradiol","volume":"189","author":"Leone","year":"2004","journal-title":"J Infect Dis"},{"key":"10.1016\/j.jmii.2014.12.001_bib35","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1080\/09603123.2011.574270","article-title":"Q fever in The Netherlands: the role of local environmental conditions","volume":"21","author":"van der Hoek","year":"2011","journal-title":"Int J Environ Health Res"},{"key":"10.1016\/j.jmii.2014.12.001_bib36","doi-asserted-by":"crossref","first-page":"96","DOI":"10.4269\/ajtmh.13-0699","article-title":"Rickettsia felis in Ctenocephalides felis felis from five geographic regions of Brazil","volume":"91","author":"Horta","year":"2014","journal-title":"Am J Trop Med Hyg"},{"key":"10.1016\/j.jmii.2014.12.001_bib37","volume":"vol. 1","author":"Guerrant","year":"1999"},{"key":"10.1016\/j.jmii.2014.12.001_bib38","doi-asserted-by":"crossref","first-page":"e95","DOI":"10.1111\/j.1863-2378.2009.01290.x","article-title":"Identification of risk factors of Coxiella burnetii (Q fever) infection in veterinary-associated populations in southern Taiwan","volume":"57","author":"Chang","year":"2010","journal-title":"Zoonoses Public Health"},{"key":"10.1016\/j.jmii.2014.12.001_bib39","doi-asserted-by":"crossref","first-page":"e32108","DOI":"10.1371\/journal.pone.0032108","article-title":"Risk factors of Coxiella burnetii (Q fever) seropositivity in veterinary medicine students","volume":"7","author":"de Rooij","year":"2012","journal-title":"PLoS One"},{"key":"10.1016\/j.jmii.2014.12.001_bib40","doi-asserted-by":"crossref","first-page":"235","DOI":"10.7883\/yoken.JJID.2006.235","article-title":"Epidemiology of scrub typhus in eastern Taiwan, 2000\u20132004","volume":"59","author":"Lee","year":"2006","journal-title":"Jpn J Infect Dis"}],"container-title":["Journal of Microbiology, Immunology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1684118214002515?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1684118214002515?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T13:20:31Z","timestamp":1761657631000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1684118214002515"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,2]]},"references-count":40,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,2]]}},"alternative-id":["S1684118214002515"],"URL":"https:\/\/doi.org\/10.1016\/j.jmii.2014.12.001","relation":{},"ISSN":["1684-1182"],"issn-type":[{"value":"1684-1182","type":"print"}],"subject":[],"published":{"date-parts":[[2017,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Identification of factors for physicians to facilitate early differential diagnosis of scrub typhus, murine typhus, and Q fever from dengue fever in Taiwan","name":"articletitle","label":"Article Title"},{"value":"Journal of Microbiology, Immunology and Infection","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jmii.2014.12.001","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2015, Taiwan Society of Microbiology. Published by Elsevier Taiwan LLC","name":"copyright","label":"Copyright"}]}}