Short Report: Detection of Rickettsioses and Q fever in Sri Lanka

被引:21
作者
Angelakis, Emmanouil [1 ]
Munasinghe, Aruna [2 ]
Yaddehige, Iranga [2 ]
Liyanapathirana, Veranja [3 ]
Thevanesam, Vasanthi [3 ]
Bregliano, Anne [1 ]
Socolovschi, Cristina [1 ]
Edouard, Sophie [1 ]
Fournier, Pierre Edouard [1 ]
Raoult, Didier [1 ]
Parola, Philippe [1 ]
机构
[1] Univ Aix Marseille, URMITE CNRS IRD UMR 6236, F-13385 Marseille 05, France
[2] Dist Gen Hosp, Matara, Sri Lanka
[3] Teaching Hosp Kandy, Kandy, Sri Lanka
关键词
INFECTIONS; PROVINCE;
D O I
10.4269/ajtmh.2012.11-0424
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Current serological evidence suggests the presence of scrub typhus and spotted fever group (SFG) rickettsiosis in Sri Lanka. Our objective was to identify rickettsial agents/Q fever as aetiological causes for patients who were presumed having rickettsioses by the presence of an eschar or a rash. Sera from patients with unknown origin fever from Matara were tested by immunofluorescence for SFG rickettsial antigens, typhus group rickettsiae, Orientia tsutsugamushi, and Coxiella burnetii antigens. Thirteen (7.3%) of the patients presented with a rash, 11 (6.1%) had an inoculation eschar, and 16 patients recalled a tick or flea bite. We found that 25 (14%) patients had scrub typhus, 6 (3%) SFG rickettsioses, 3 (1.6%) acute Q fever, 3 (1.6%) murine typhus, and 3 (1.6%) were infected by Rickettsia fells. In addition to already described scrub and murine typhus, we found that R. felis and C. burnetii infections should be considered in Sri Lanka.
引用
收藏
页码:711 / 712
页数:2
相关论文
共 14 条
[1]   Murine Typhus as a Cause of Fever in Travelers From Tunisia and Mediterranean Areas [J].
Angelakis, Emmanouil ;
Botelho, Elizabeth ;
Socolovschi, Cristina ;
Sobas, Chantal Roure ;
Piketty, Christophe ;
Parola, Philippe ;
Raoult, Didier .
JOURNAL OF TRAVEL MEDICINE, 2010, 17 (05) :310-315
[2]   Q fever [J].
Angelakis, Emmanouil ;
Raoult, Didier .
VETERINARY MICROBIOLOGY, 2010, 140 (3-4) :297-309
[3]  
Babudieri B., 1959, ADV VET SCI, V5, P82
[4]   Kinetics of antibody responses in Rickettsia africae and Rickettsia conorii infections [J].
Fournier, PE ;
Jensenius, M ;
Laferl, H ;
Vene, S ;
Raoult, D .
CLINICAL AND DIAGNOSTIC LABORATORY IMMUNOLOGY, 2002, 9 (02) :324-328
[5]   Serological examination of human and animal sera from six countries of three continents for the presence of rickettsial antibodies [J].
Kovacova, E ;
Sixl, W ;
Stunzner, D ;
Urvolgyi, J ;
Kazar, J .
EUROPEAN JOURNAL OF EPIDEMIOLOGY, 1996, 12 (01) :85-89
[6]   Emerging rickettsial infections in Sri Lanka: the pattern in the hilly Central Province [J].
Kularatne, SAM ;
Edirisingha, JS ;
Gawarammana, IB ;
Urakami, H ;
Chenchittikul, M ;
Kaiho, I .
TROPICAL MEDICINE & INTERNATIONAL HEALTH, 2003, 8 (09) :803-811
[7]   Tick- and flea-borne rickettsial emerging zoonoses [J].
Parola, P ;
Davoust, B ;
Raoult, D .
VETERINARY RESEARCH, 2005, 36 (03) :469-492
[8]   Rickettsia felis: from a rare disease in the USA to a common cause of fever in sub-Saharan Africa [J].
Parola, P. .
CLINICAL MICROBIOLOGY AND INFECTION, 2011, 17 (07) :996-1000
[9]  
Phongmany S, 2006, EMERG INFECT DIS, V12, P256
[10]   Rickettsial infections and their clinical presentations in the Western Province of Sri Lanka: a hospital-based study [J].
Premaratna, R. ;
Loftis, A. D. ;
Chandrasena, T. G. A. N. ;
Dasch, G. A. ;
de Silva, H. J. .
INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES, 2008, 12 (02) :198-202