Clinical and sero-epidemiological study of scrub typhus, spotted fever and Q fever in Puducherry
Implementing Organization
Mahatma Gandhi Medical College and Research Institute (MGMC and RI), Pondicherry 607403
Indira Gandhi Govt. General Hospital and Post Graduate Institute (IGMCRI), Pondicherry 605009
Principal Investigator
Dr. Selvaraj Stephen
Professor
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Mahatma Gandhi Medical College and Research Institute (MGMC and RI), Pondicherry 607403
CO-Principal Investigator
Dr. Mohamed Hanifah
Professor
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Mahatma Gandhi Medical College and Research Institute (MGMC and RI), Puducherry
CO-Principal Investigator
Dr. Dhandapany Gunasekaran
Professor
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Mahatma Gandhi Medical College and Research Institute (MGMC and RI), ) Puducherry, 607403
CO-Principal Investigator
Dr. Prabakhar Xavier Antony (
Associate Professor
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Rajiv Gandhi College of Veterinary and Animal Sciences (RGCVAS), Puducherry, Tamil Nadu
CO-Principal Investigator
Dr. Kengamuthu Sarangapani
Scientist
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Indira Gandhi Govt. General Hospital and Post Graduate Institute (IGMCRI), Pondicherry 605009
CO-Principal Investigator
Dr. Stanley Ambroise
Scientist
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Indira Gandhi Govt. General Hospital and Post Graduate Institute (IGMCRI), Pondicherry 605009
Project Overview
Pondicherry and neighbouring Tamil Nadu has become ST endemic areas. Hence for Scrub typhus diagnosis, reliance should be placed on IgM ELISA rather than WF (OXK) and single OXK titres up to 1:160 should not be considered as significant. As reported earlier (2013), rapid ST ICT kits are specific and far superior to WF. We have also proved the unreliability of three commercial ELISA kits for C. burnetii Phase II IgM. Hence use of these kits should be discouraged and to be replaced by IFA and to be preferably confirmed by PCR. Regarding Q fever, physicians were initially unaware of this clinical entity, but now are sensitized to look for common symptoms of acute Q fever as well as the chronic forms of Q fever. Coxiellosis in domestic livestock has been found to be low.