Article: Clinical diagnosis and geographic distribution of leptospirosis, Thailand.(Disease/Disorder overview)

We defined the positive predictive accuracy of a hospital-based clinical diagnosis of leptospirosis in 9 provinces across Thailand. Of 700 suspected cases, 143 (20%) were confirmed by laboratory testing. Accuracy of clinical diagnosis varied from 0% to 50% between the provinces and was highest during the rainy season. Most confirmed cases occurred in the north and northeast regions of the country.

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Leptospirosis is an emerging infectious disease in Thailand (1). Before 1996, the number of cases reported to the Thailand Department of Disease Control (DDC) was [approximately equal to] 200 per year. Leptospirosis was sporadic and reported mainly ...

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