Human infection with Rickettsia sibirica mongolitimonae, Spain, 2007-2011

José M Ramos1, Isabel Jado, Sergio Padilla

  • 1Hospital General Universitario de Elche, Alicante, Spain. jramosrincon@yahoo.es

Insights

Rickettsia sibirica mongolitimonae infections, a rare bacterial illness, have had limited documented cases. This study reports six new human infections in Spain, highlighting the need for clinical awareness in travelers to the region.

Area of Science:

  • Infectious Diseases
  • Bacteriology
  • Public Health

Background:

  • Rickettsia sibirica mongolitimonae is a bacterium known to cause human infections.
  • Initial reports of human infection date back to 1996, with a total of 18 cases previously published.
  • This tick-borne illness is geographically associated with specific regions.

Purpose of the Study:

  • To report and describe six additional cases of Rickettsia sibirica mongolitimonae infection.
  • To document the occurrence of these infections in the Mediterranean coast region of Spain.
  • To raise clinical awareness regarding this infection in relevant patient populations.

Main Methods:

  • Retrospective case series analysis.
  • Clinical data collection for patients diagnosed between 2007 and 2011.
  • Geographic mapping of case occurrences.

Main Results:

  • Six new cases of Rickettsia sibirica mongolitimonae infection were identified.
  • All cases occurred in the Mediterranean coast region of Spain.
  • The cases were diagnosed over a four-year period (2007-2011).

Conclusions:

  • Rickettsia sibirica mongolitimonae infection is an emerging concern in the Mediterranean region of Spain.
  • Clinicians should consider this diagnosis in patients presenting with relevant symptoms after travel to this area.
  • Further surveillance and research are warranted to understand the epidemiology and clinical spectrum of this infection.