An Analysis of Fevers of Unknown Origin in American Soldiers in Vietnam
Authors: JOHN J. DELLER
Journal: Annals of Internal Medicine (1967)

Article1 June 1967An Analysis of Fevers of Unknown Origin in American Soldiers in VietnamJOHN J. DELLER JR., PHILIP K. RUSSELLJOHN J. DELLER JR., PHILIP K. RUSSELLAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-66-6-1129 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptA number of febrile diseases endemic in Vietnam are characterized by the sudden onset of high fever, chills, and headache. Although the classical varieties of the arborvirus diseases, scrub typhus and malaria, as well as a number of other tropical febrile illnesses, have been well described (1-7), the differential diagnosis of these tropical diseases remains a real challenge.In an attempt to define these "fevers of unknown origin," 110 patients presenting in this fashion in whom a more precise diagnosis could not be made within 24 hr of admission to the 93rd Evacuation Hospital, Long Binh, South Vietnam, were studied....References1. TAYLORLUMLEY FHCF: Dengue. Australian Medical Publishing Co., Ltd., New South Wales, 1943. Google Scholar2. DOOLEYBURKLE JRJS: Three faces of dengue. Arch. Intern. Med. (Chicago) 117: 170, 1966. CrossrefMedlineGoogle Scholar3. HAMMONSATHER WMGE: Virological findings in the 1960 hemorrhagic fever epidemic (dengue) in Thailand. Amer. J. Trop. Med. 13: 629, 1964. CrossrefMedlineGoogle Scholar4. RIVERSHORSFALL TMFL: Viral and Rickettsial Diseases of Man, 3rd ed. J. B. Lippincott Co., Philadelphia, 1959. Google Scholar5. RANITZMYERSVARKEYISAACCAREY CDRMMJZHDE: Clinical impressions of chikungunya in Vellore gained from study of adult patients. Indian J. Med. Res. 53: 756, 1965. MedlineGoogle Scholar6. COATESHAVENS JBWP Infectious diseases, in Internal Medicine in World War II, edited by U. S. Government Printing Office, Washington, D. C., 1963. Google Scholar7. BEASONMCDERMOTT PBW: The infectious diseases, in Textbook of Medicine (Cecil-Loeb), 11th ed. W. B. Saunders Co., Philadelphia, 1963. Google Scholar8. CLARKECASALS DHJ: Techniques for hemagglutination and hemagglutination inhibition with arthropod-borne viruses. Amer. J. Trop. Med. 7: 561, 1958. CrossrefMedlineGoogle Scholar9. RUSSELLNISALAKGUNAKASEM PKAP: Dengue virus identification by plaque reduction neutralization test. In preparation. Google Scholar10. RUSSELLBELLANTIBUESCHERMCGOWN PKJAELJM: Challenge virus resistance and interferon produced in BS-C-1 cells by dengue virus. Proc. Soc. Exp. Biol. Med. 122: 557, 1966. CrossrefMedlineGoogle Scholar11. WOLFF JW: The Laboratory Diagnosis of Leptospirosis. Charles C Thomas, Publisher, Springfield, Ill., 1954. Google Scholar12. FINKELSTEIN RA: Melioidosis in Thailand. In preparation. Google Scholar13. BOZEMANELISBERG FMBL: Serologic diagnosis of scrub typhus by indirect immunofluorescence. Proc. Soc. Exp. Biol. Med. 112: 568, 1963. CrossrefMedlineGoogle Scholar14. DELLERRUSSELL JJPK: Chikungunya disease, analysis of ten cases. In preparation. Google Scholar15. DELLERCIFARELLIBERQUEBUCHANON JJPSSR: Malaria hepatitis. In preparation. Google Scholar16. WEBERSTALLKAMPDOUGLAS DTL: Acute melioidosis in U. S. soldiers in Vietnam. In preparation. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: JOHN J. DELLERJR.; PHILIP K. RUSSELLAffiliations: From the 93rd Evacuation Hospital, Long Binh, South Vietnam.Requests for reprints should be addressed to Lt. Col. John J. Deller, Jr., MC, USA, Department of Medicine, Letterman General Hospital, San Francisco, Calif. 94129. 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WRIGHT, M.D., LEWELLYS F. BARKER, M.D., IRA D. MICKENBERG, M.D., SHELDON M. WOLFF, M.D., F.A.C.P.Digestive Disease as a National ProblemPotential Medical Problems in Personnel Returning from VietnamDAVID N. GILBERT, WILLIAM L. MOORE JR., CHARLES L. HEDBERG, JAY P. SANFORD, M.D., F.A.C.P. 1 June 1967Volume 66, Issue 6Page: 1129-1143KeywordsChikungunya infectionDengue feverFever of unknown originLeptospirosisMalariaResearch laboratoriesSalmonellosisShigellosisTropical diseasesTyphus ePublished: 1 December 2008 Issue Published: 1 June 1967 PDF downloadLoading ...