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Am. J. Trop. Med. Hyg., 25(1), 1976, pp. 116-121
Copyright © 1976 by The American Society of Tropical Medicine and Hygiene

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Febrile Illnesses Resulting in Hospital Admission: A Bacteriological and Serological Study in Jakarta, Indonesia*

Karl E. Anderson{dagger}, Sam W. Joseph{ddagger}, Remy Nasution, Sunoto Thomas Butler§, P. F. D. van Peenen, George S. Irving, J. Sulianti Saroso AND Raymond H. Watten||
U.S. Naval Medical Research Unit No. 2, Jakarta Detachment, Central Hospital, Friendship Hospital, Sumbar Waras Hospital, Husada Hospital, Cikini Hospital, and Naval Hospital, Jakarta, Indonesia, and the U.S. Naval Medical Research Unit No. 2, Taipei, Taiwan

A study of 741 Indonesian patients with fever was carried out in order to determine what serious febrile illnesses are prevalent in Jakarta. All patients were hospitalized primarily because of fever and were studied by bacteriological and serological methods. Bacteremia due to Salmonella typhi (150 cases), S. enteritidis (36 cases), or both (2 cases) was common in both children and adults. One S. enteritidis isolate was chloramphenicol resistant. Serological evidence of Salmonella infection was found in 130 additional cases without bacteremia. Serological evidence of arbovirus infection (94 cases) was common in children. Malaria was found in 12 adults, most of whom were probably infected outside Jakarta. Little serological evidence was found for rickettsial, leptospiral, Brucella, Toxoplasma gondii or a number of other infections. Clinical signs and symptoms in the febrile patients studied were generally nonspecific, and laboratory results reported were very helpful in establishing more accurate diagnoses.

Accepted for publication July 19, 1975.


* The opinions and assertions contained herein are those of the authors and are not to be construed as official or as reflecting the views of the Indonesian Ministry of Health or the U. S. Navy Department.

This study was supported through funds provided by the Bureau of Medicine and Surgery, Navy Department, for Work Unit MF51.524.009-0035 A6G1.

Address reprint requests to: Publications Office, NAMRU-2, Box 14, APO San Francisco 96263.


{dagger} Present address: The Rockefeller University, New York, New York 10021.


{ddagger} Present address: The Naval Medical Research Institute, Bethesda, Maryland 20014.


§ Present address: Case Western Reserve University School of Medicine, Cleveland, Ohio 44106.


|| Present address: The Naval Regional Medical Center, Box 529, San Diego, California 92134.




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Copyright © 1976 by the American Society of Tropical Medicine and Hygiene.