{"title":"从赞比亚回国的旅行者的地中海斑疹热病例","authors":"Takahiro Ichikawa , Yongjin Qiu , Shuji Ando , Yuto Takeuchi , Atsushi Nagasaka","doi":"10.1016/j.ttbdis.2024.102347","DOIUrl":null,"url":null,"abstract":"<div><p>We report the case of a traveler who returned from Zambia and was diagnosed with Mediterranean spotted fever (MSF), an infectious disease caused by <em>Rickettsia conorii conorii.</em> The patient presented to Sapporo City General Hospital with symptoms of fever, malaise, headache, and rash. The pathogen was identified by Polymerase Chain Reaction assays and subsequent analyses. The patient improved with 10-day treatment of oral doxycycline. Although some cases of MSF have been reported in sub-Saharan Africa, none have been reported in Zambia. <em>Rhipicephalus sanguineus</em> sensu lato, the vector of the <em>Rickettsia conorii conorii</em>, has been found in various areas of Zambia. Our case report highlights the potential threat of Mediterranean spotted fever in urban areas of Zambia.</p></div>","PeriodicalId":49320,"journal":{"name":"Ticks and Tick-borne Diseases","volume":"15 4","pages":"Article 102347"},"PeriodicalIF":3.1000,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877959X24000402/pdfft?md5=3aae0d755ea8b2109503d3df61de0f43&pid=1-s2.0-S1877959X24000402-main.pdf","citationCount":"0","resultStr":"{\"title\":\"The case of Mediterranean spotted fever of the traveler returned from Zambia\",\"authors\":\"Takahiro Ichikawa , Yongjin Qiu , Shuji Ando , Yuto Takeuchi , Atsushi Nagasaka\",\"doi\":\"10.1016/j.ttbdis.2024.102347\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>We report the case of a traveler who returned from Zambia and was diagnosed with Mediterranean spotted fever (MSF), an infectious disease caused by <em>Rickettsia conorii conorii.</em> The patient presented to Sapporo City General Hospital with symptoms of fever, malaise, headache, and rash. The pathogen was identified by Polymerase Chain Reaction assays and subsequent analyses. The patient improved with 10-day treatment of oral doxycycline. Although some cases of MSF have been reported in sub-Saharan Africa, none have been reported in Zambia. <em>Rhipicephalus sanguineus</em> sensu lato, the vector of the <em>Rickettsia conorii conorii</em>, has been found in various areas of Zambia. Our case report highlights the potential threat of Mediterranean spotted fever in urban areas of Zambia.</p></div>\",\"PeriodicalId\":49320,\"journal\":{\"name\":\"Ticks and Tick-borne Diseases\",\"volume\":\"15 4\",\"pages\":\"Article 102347\"},\"PeriodicalIF\":3.1000,\"publicationDate\":\"2024-05-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S1877959X24000402/pdfft?md5=3aae0d755ea8b2109503d3df61de0f43&pid=1-s2.0-S1877959X24000402-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Ticks and Tick-borne Diseases\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1877959X24000402\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"INFECTIOUS DISEASES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ticks and Tick-borne Diseases","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1877959X24000402","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
引用次数: 0
摘要
我们报告了一例从赞比亚回国的旅行者被诊断为地中海斑疹热(MSF)的病例,这是一种由康氏立克次体引起的传染病。患者因发热、不适、头痛和皮疹等症状前往札幌市综合医院就诊。通过聚合酶链式反应检测和随后的分析,确定了病原体。患者口服多西环素 10 天后病情好转。尽管撒哈拉以南非洲地区也曾报告过一些 MSF 病例,但赞比亚尚未报告过此类病例。Rhipicephalus sanguineus sensu lato是Conorii Conorii立克次体的病媒,在赞比亚多个地区均有发现。我们的病例报告凸显了地中海斑疹热在赞比亚城市地区的潜在威胁。
The case of Mediterranean spotted fever of the traveler returned from Zambia
We report the case of a traveler who returned from Zambia and was diagnosed with Mediterranean spotted fever (MSF), an infectious disease caused by Rickettsia conorii conorii. The patient presented to Sapporo City General Hospital with symptoms of fever, malaise, headache, and rash. The pathogen was identified by Polymerase Chain Reaction assays and subsequent analyses. The patient improved with 10-day treatment of oral doxycycline. Although some cases of MSF have been reported in sub-Saharan Africa, none have been reported in Zambia. Rhipicephalus sanguineus sensu lato, the vector of the Rickettsia conorii conorii, has been found in various areas of Zambia. Our case report highlights the potential threat of Mediterranean spotted fever in urban areas of Zambia.
期刊介绍:
Ticks and Tick-borne Diseases is an international, peer-reviewed scientific journal. It publishes original research papers, short communications, state-of-the-art mini-reviews, letters to the editor, clinical-case studies, announcements of pertinent international meetings, and editorials.
The journal covers a broad spectrum and brings together various disciplines, for example, zoology, microbiology, molecular biology, genetics, mathematical modelling, veterinary and human medicine. Multidisciplinary approaches and the use of conventional and novel methods/methodologies (in the field and in the laboratory) are crucial for deeper understanding of the natural processes and human behaviour/activities that result in human or animal diseases and in economic effects of ticks and tick-borne pathogens. Such understanding is essential for management of tick populations and tick-borne diseases in an effective and environmentally acceptable manner.