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Published on: October 31, 2025
Rickettsia mongolotimonae infection in South Africa
Anne-Marié Pretorius1, Richard J Birtles
1Department of Medical Microbiology, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa. gnvramp.nd@mail.uovs.ac.za
Abstract:
We report the first laboratory-confirmed case of Rickettsia mongolotimonae infection in Africa. The patient sought treatment for an eschar on his toe; lymphangitis, severe headaches, and fever subsequently developed. After a regimen of doxycycline, symptoms rapidly resolved. R. mongolotimonae infection was diagnosed retrospectively by serologic tests and molecular-based detection of the organism in biopsy specimens of eschar material.
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