YJP contributed the interpretation of microbiologic data.
A lack of microbiologic confirmation may bias our observation.
Patients treated without any microbiologic sampling of their suspected infection or having their treatment based only on microbiologic identification without susceptibility testing were considered to have a low level of microbiologic confirmation of infection.
Confirmation of diagnosis was done retrospectively with the knowledge of microbiologic findings.
Overall 248 (49%) patients had a low level of microbiologic assessment of infection.
Possible IA was not analyzed because of a lack of microbiologic criteria.
The patients' age and sex and the results of microbiologic tests are presented in the Table.
Table 2 shows the results of microbiologic tests conducted on the water samples.
The available array of microbiologic diagnostic tests is another predicament in the management of rickettsial diseases.
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