{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T04:49:37Z","timestamp":1772599777609,"version":"3.50.1"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2020,4,6]],"date-time":"2020-04-06T00:00:00Z","timestamp":1586131200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Rickettsial infections are an under-recognized cause of acute, undifferentiated fever in the tropics. In Asia, intensive care unit (ICU) admission rates as high as 21% and case-fatality rates of up to 5% have been reported. This 20-year retrospective audit of children and adults with serologically confirmed scrub typhus or spotted fever group (SFG) infection was performed at a tertiary-referral hospital in tropical Australia. There were 15 paediatric cases during the study period (11 scrub typhus, 3 SFG and 1 undifferentiated). Hypotension [5\/15 (33%)], tachycardia [6\/15 (40%)] and tachypnoea [6\/15 (40%)] were common at presentation. Children were more likely to be hypotensive at admission than adults [5\/15 (33%) vs. 5\/118 (4%), p\u2009=\u20090.002]. However, no child died or was admitted to ICU, compared with 18\/120 (15%) adults who required ICU support during the study period, one of whom died. Paediatric rickettsial infections have a relatively benign clinical course in tropical Australia with serious complications appearing far less frequently than have been reported in the Asian literature.<\/jats:p>","DOI":"10.1093\/tropej\/fmaa015","type":"journal-article","created":{"date-parts":[[2020,2,29]],"date-time":"2020-02-29T12:22:58Z","timestamp":1582978978000},"page":"655-660","source":"Crossref","is-referenced-by-count":8,"title":["Clinical Features of Rickettsial Infection in Children in Tropical Australia\u2014A Report of 15 Cases"],"prefix":"10.1093","volume":"66","author":[{"given":"Alexandra G A","family":"Stewart","sequence":"first","affiliation":[{"name":"Department of Medicine, Cairns Hospital, Cairns, Queensland 4870, Australia"},{"name":"Infectious Diseases Unit, Western Health, Victoria 3011, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Medicine, 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