Characterization of rickettsia rickettsii in a case of Fatal Brazilian spotted fever in the city of Rio de Janeiro, Brazil
Braz. j. infect. dis
; 12(2): 149-151, Apr. 2008. ilus, tab
Article
in En
| LILACS
| ID: lil-486317
Responsible library:
BR1.1
ABSTRACT
A lethal case of Brazilian spotted fever (BSF) is presented. Clinical features were initially of gastrointestinal involvement and evolved with progression to septic shock, meningoencephalitis and death on the 6th day of illness. Indirect immunofluorescence assay (IFA) for spotted fever group rickettsia (SFGR) was non-reactive. Diagnosis was confirmed by the polymerase chain reaction (PCR) and the nucleotide sequencing of a fragment of the ompA gene showed 100 percent homology to Rickettsia rickettsii. BSF has not been reported in the city of Rio de Janeiro in the last three decades, and the present description should alert the clinicians to its presence in urban Rio de Janeiro, and to the differential diagnosis with dengue fever, gastroenteritis, leptospirosis and bacterial septic shock, among others.
Key words
Full text:
1
Collection:
01-internacional
Database:
LILACS
Main subject:
Rickettsia rickettsii
/
Rocky Mountain Spotted Fever
/
Antibodies, Bacterial
Limits:
Humans
/
Male
Country/Region as subject:
America do sul
/
Brasil
Language:
En
Journal:
Braz. j. infect. dis
Journal subject:
DOENCAS TRANSMISSIVEIS
Year:
2008
Document type:
Article
Affiliation country:
Brazil