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.
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页码:711 / 712
页数:2
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