[An outbreak of endemic typhus in Baoshan city, Yunnan province].

OBJECTIVE: To understand the epidemiologic characteristics of endemic typhus in Baoshan city. METHODS: Epidemiological data were collected and characteristics were analyzed. IgG antibody (Ab) of Rickettsia mooseri and Orientia tsutsugamushi in serum of patients were tested using both Weil-Felix and IFA method. The Rickettsia mooseri gltA gene, Rickettsia prowazekii gltA gene, Orientia tsutsugamushi 56 kDa protein gene, SFGR ompA gene, Ehrlichia sp. 16S rRNA gene and Anaplasma sp. 16S rRNA gene in spleen of mice were examined by PCR. RESULTS: Fifty-eight endemic typhus cases were found in Longyang district of Baoshan city, during July to August, 2009. Among them, 48 cases were confirmed by clinical diagnosis and 10 cases by laboratory tests. The Ab of Orientia tsutsugamushi Karp serotype was detected in 3 cases from laboratory diagnosis. The spleen samples from 85 Rattus flavipectus were tested using PCR. Of them, 3 samples for Rickettsia mooseri gltA gene showed positive (positive rate was 3.5%), and the homology of 3 Rickettsia mooseri and Rickettsia mooseri Wilmington strain (GenBank U59714.1) was 100% through comparing gene sequence. The results of PCR for detecting Rickettsia prowazekii, Orientia tsutsugamushi, SFGR, Anaplasma sp. and Ehrlichia. sp were all negative. CONCLUSION: The outbreak of endemic typhus was confirmed in Longyang district of Baoshan city through epidemiological data, clinical diagnosis and laboratory tests. Rickettsia mooseri DNA was detected in the dominant Rattus flavipectus, suggesting that endemic typhus did exist in the local areas.