Features of Brazilian spotted fever in two different endemic areas in Brazil

被引:31
作者
Angerami, Rodrigo N. [1 ]
Camara, Milena
Pacola, Marcia R. [2 ]
Rezende, Regina C. M. [2 ]
Duarte, Raquel M. R. [2 ]
Nascimento, Elvira M. M. [3 ]
Colombo, Silvia [3 ]
Santos, Fabiana C. P. [3 ]
Leite, Ruth M. [4 ]
Katz, Gizelda [3 ]
Silva, Luiz J. [5 ]
机构
[1] Univ Estadual Campinas, Hosp Clin, Nucleo Vigilancia Epidemiol, BR-13104184 Campinas, SP, Brazil
[2] Secretaria Estado Saude Sao Paulo, Grp Vigilancia Epidemiol 17, Sao Paulo, Brazil
[3] Secretaria Estado Saude Sao Paulo, Inst Adolfo Lutz, Sao Paulo, Brazil
[4] Secretaria Estado Saude Sao Paulo, Ctr Vigilancia Epidemiol, Sao Paulo, Brazil
[5] Int Vaccine Inst, Dengue Vaccine Initiat, Seoul, South Korea
关键词
Rickettsia rickettsii; Brazilian spotted fever; Amblyomma cajennense; Amblyomma aureolatum; SOUTHEASTERN BRAZIL; CLINICAL-ASPECTS; CASE SERIES; RICKETTSIA; DISEASE; STATE;
D O I
10.1016/j.ttbdis.2012.10.010
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Brazilian spotted fever (BSF) caused by Rickettsia rickettsii is the most important rickettsiosis and the only reportable tick-borne disease in Brazil. In Brazil, the hard tick Amblyomma cajennense is the most important BSF vector; however, in Sao Paulo State, A. aureolatum was also recognized as a vector species in remaining Atlantic forest areas near the metropolitan area of Sao Paulo city. We analyzed clinical and epidemiological features of BSF cases from two distinct areas where A. cajennense (Area 1) and A. aureolatum (Area 2) are the incriminated vectors. The clinical features demonstrate the same severity pattern of BSF in both endemic areas. Differences in seasonality, patient characteristics (median age and gender), and epidemiological risk factors (animals host contact and vegetation characteristics) were observed and possibly could be attributed to the characteristics of each vector and their typical biological cycle (hosts and environment). (C) 2012 Elsevier GmbH. All rights reserved.
引用
收藏
页码:345 / 347
页数:3
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