Spotted Fever Group Rickettsioses in Israel, 2010-2019.
Emerg Infect Dis
; 27(8): 2117-2126, 2021 08.
Article
em En
| MEDLINE
| ID: mdl-34286684
ABSTRACT
In a multicenter, nationwide, retrospective study of patients hospitalized with spotted fever group rickettsiosis in Israel during 2010-2019, we identified 42 cases, of which 36 were autochthonous. The most prevalent species was the Rickettsia conorii Israeli tick typhus strain (n = 33, 79%); infection with this species necessitated intensive care for 52% of patients and was associated with a 30% fatality rate. A history of tick bite was rare, found for only 5% of patients; eschar was found in 12%; and leukocytosis was more common than leukopenia. Most (72%) patients resided along the Mediterranean shoreline. For 3 patients, a new Rickettsia variant was identified and had been acquired in eastern, mountainous parts of Israel. One patient had prolonged fever before admission and clinical signs resembling tickborne lymphadenopathy. Our findings suggest that a broad range of Rickettsia species cause spotted fever group rickettsiosis in Israel.
Palavras-chave
Israel; Israeli spotted fever; Mediterranean spotted fever; R. conorii Israeli tick typhus strain; R. conorii Malish strain; Rhipicephalus sanguineus; Rickettsia africae; Rickettsia conorii conorii; Rickettsia conorii israelensis; bacteria; epidemiology; spotted fever group rickettsiosis; ticks; vector-borne infections; zoonoses
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Rickettsia
/
Rickettsia conorii
/
Rickettsiose do Grupo da Febre Maculosa
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Humans
País/Região como assunto:
Asia
Idioma:
En
Revista:
Emerg Infect Dis
Assunto da revista:
DOENCAS TRANSMISSIVEIS
Ano de publicação:
2021
Tipo de documento:
Article