{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:03:51Z","timestamp":1777907031912,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2013,12,11]],"date-time":"2013-12-11T00:00:00Z","timestamp":1386720000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:p>Spotted fever (SF), a tick-borne rickettsial infection, is being increasingly reported from mainly northern Indian states. A lack of awareness and confirmatory laboratory tests underestimate the incidence of this infection which, in India, is predominantly seen during the rainy season. Many patients diagnosed with viral exanthematous illnesses may be suffering from SF, which is treatable if detected early. There is very little data on SF in adults in southern India. We present seven patients with SF treated between January 2007 and January 2008 in a tertiary care hospital in South India. All presented during the rainy season, with rash (100%) and generalized oedema (71%) being the most common features. There was one death due to type I respiratory failure. Renal failure, shock, aseptic meningitis and hepatitis were other significant abnormalities detected in these patients. Clinicians need to be aware of SF and suspect it in appropriate patients.<\/jats:p>","DOI":"10.1177\/0049475513515478","type":"journal-article","created":{"date-parts":[[2013,12,11]],"date-time":"2013-12-11T20:17:42Z","timestamp":1386793062000},"page":"89-91","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Clinico-epidemiological profile of seven adults with spotted fever from a tertiary care hospital in South India"],"prefix":"10.1177","volume":"44","author":[{"given":"Kango Gopal","family":"Gopinath","sequence":"first","affiliation":[{"name":"Associate Professor of Geriatrics, Department of Geriatrics and Internal Medicine Unit 3, Christian Medical College, Vellore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anugrah","family":"Chrispal","sequence":"additional","affiliation":[{"name":"Associate Professor of Medicine, Department of Internal Medicine Unit 2, Christian Medical College, Vellore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harikishan","family":"Boorugu","sequence":"additional","affiliation":[{"name":"Associate Professor of Medicine, Department of Internal Medicine Unit 2, Christian Medical College, Vellore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Chandy","sequence":"additional","affiliation":[{"name":"Post Doctoral Fellow, Department of Internal Medicine Unit 1, Christian Medical College, Vellore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John Jude","family":"Prakash","sequence":"additional","affiliation":[{"name":"Professor of Microbiology, Department of Microbiology, Christian Medical College, Vellore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asha Mary","family":"Abraham","sequence":"additional","affiliation":[{"name":"Professor of Virology, Department of Virology, Christian Medical College, Vellore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"OC","family":"Abraham","sequence":"additional","affiliation":[{"name":"Professor of Medicine, Department of Internal Medicine Unit 1, Christian Medical College, Vellore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kurien","family":"Thomas","sequence":"additional","affiliation":[{"name":"Professor of Medicine, Department of Internal Medicine Unit 2, Christian Medical College, Vellore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2013,12,11]]},"reference":[{"key":"bibr1-0049475513515478","first-page":"1393","volume":"38","author":"Murali M","year":"2001","journal-title":"Indian Pediat"},{"key":"bibr2-0049475513515478","first-page":"104","volume":"71","author":"Padbidri VS","year":"1978","journal-title":"J Indian Med Assoc"},{"key":"bibr3-0049475513515478","first-page":"868","volume":"55","author":"Mahajan SK","year":"2007","journal-title":"J Assoc Physicians India"},{"key":"bibr4-0049475513515478","first-page":"45","volume":"11","author":"Padbidri VS","year":"1984","journal-title":"Ind J Zoonoses"},{"key":"bibr5-0049475513515478","doi-asserted-by":"publisher","DOI":"10.1093\/tropej\/fmi096"},{"key":"bibr6-0049475513515478","doi-asserted-by":"publisher","DOI":"10.1080\/00034983.2001.11813652"},{"key":"bibr7-0049475513515478","first-page":"128","volume":"126","author":"Kamarasu K","year":"2007","journal-title":"Indian J Med Res"},{"key":"bibr8-0049475513515478","first-page":"334","volume":"57","author":"Chaudhry D","year":"2009","journal-title":"J Assoc Phys India"},{"key":"bibr9-0049475513515478","doi-asserted-by":"publisher","DOI":"10.1007\/s13312-011-0141-7"},{"key":"bibr10-0049475513515478","doi-asserted-by":"crossref","unstructured":"Prakash JA, Sohan Lal T, Rosemol V, et al. Molecular detection and analysis of spotted fever group Ricketssia in patients with fever and rash at a tertiary care centre in Tamilnadu, India.\n                      Pathog Glob Health\n                      2012; 106: 40\u201345.","DOI":"10.1179\/2047773212Y.0000000001"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475513515478","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0049475513515478","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475513515478","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:28:49Z","timestamp":1777642129000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0049475513515478"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,12,11]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2014,4]]}},"alternative-id":["10.1177\/0049475513515478"],"URL":"https:\/\/doi.org\/10.1177\/0049475513515478","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,12,11]]}}}