Causes of fever in adults on the Thai-Myanmar border

Ruth D. Ellis*, Mark M. Fukuda, Philip McDaniel, Katherine Welch, Ananda Nisalak, Clinton K. Murray, Michael R. Gray, Nichapat Uthaimongkol, Nillawan Buathong, Sabaithip Sriwichai, Rungnapha Phasuk, Kritsanai Yingyuen, Chaiyawat Mathavarat, Robert S. Miller

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

68 Scopus citations


A hospital-based study was conducted along the Thai-Myanmar border to provide greater knowledge of the causes of febrile illness and to determine what zoonotic and vector-borne emerging infectious diseases might be present. A total of 613 adults were enrolled from June 1999 to March 2002. Cases were classified based on clinical findings and laboratory results. An etiologic diagnosis was made for 48% of subjects. Malaria was the most common diagnosis, accounting for 25% of subjects, with two-thirds Plasmodium falciparum. Serologic evidence for leptospirosis was found in 17% of subjects. Other etiologic diagnoses included rickettsial infections, dengue fever, and typhoid. The most frequent clinical diagnoses were nonspecific febrile illness, respiratory infections, and gastroenteritis. Clinical associations were generally not predictive of etiologic diagnosis. Apparent dual diagnoses were common, particularly for malaria and leptospirosis. Findings have been used to modify treatment of unspecified febrile illness in the area.

Original languageEnglish
Pages (from-to)108-113
Number of pages6
JournalAmerican Journal of Tropical Medicine and Hygiene
Issue number1
StatePublished - Jan 2006
Externally publishedYes


Dive into the research topics of 'Causes of fever in adults on the Thai-Myanmar border'. Together they form a unique fingerprint.

Cite this