First report of African tick-bite fever in a South American traveler

被引:11
作者
Angerami, Rodrigo N. [1 ,2 ]
Krawczak, Felipe S. [3 ]
Nieri-Bastos, Fernanda A. [3 ]
Santos, Fabiana [4 ]
Medorima, Claudio [1 ]
Resende, Mariangela Ribeiro [1 ]
Labruna, Marcelo B. [3 ]
机构
[1] Univ Estadual Campinas, Hosp Clin, Campinas, SP, Brazil
[2] Univ Estadual Campinas, Sch Med Sci, Campinas, SP, Brazil
[3] Univ Sao Paulo, Fac Vet Med, Dept Prevent Vet Med & Anim Hlth, Av Prof Orlando Marques de Paiva 87,Cidade Univ, BR-05508270 Sao Paulo, SP, Brazil
[4] Adolfo Lutz Inst, State Hlth Secretary, Sao Paulo, Brazil
来源
SAGE OPEN MEDICAL CASE REPORTS | 2018年 / 6卷
关键词
Rickettsia africae; spotted fever; rickettsiosis; Brazil;
D O I
10.1177/2050313X18775301
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report a clinical case of African tick-bite fever in a Brazilian traveler right after his return from South Africa. Definitive diagnosis was supported by seroconversion between acute-phase and convalescent-phase serum samples, detection of rickettsial DNA in skin lesions, and in vitro culture of Rickettsia africae from the patient's skin. Most of the previous reported cases of African tick-bite fever were confirmed solely by serological or/and molecular methods. Through this first confirmed case of African tick-bite fever in Brazil, it is quite possible that other cases are occurring unnoticed by the health authorities, requiring a greater vigilance in traveler's medicine in South America.
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页数:3
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