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An Electroporation Method to Transform Rickettsia spp. with a Fluorescent Protein-Expressing Shuttle Vector in Tick Cell Lines
Published on: October 11, 2022
Imported rickettsial disease: clinical and epidemiologic features
J C McDonald1, J D MacLean, J E McDade
1McGill University Center for Tropical Disease, Montreal, Quebec, Canada.
Purpose And Methods:
The rickettsioses continue to constitute major health problems in many parts of the world. With increasing international travel, recognition of rickettsial diseases by physicians is becoming more important. The clinical features of four cases of rickettsial disease imported into Canada over a five-year period are presented; two patients with tick typhus (Rickettsia conorii), one patient with scrub typhus (R. tsutsugamushi), and one patient with murine typhus (R. typhi). We also present the North American data over the past 10 years from the Centers for Disease Control (CDC) (Atlanta).
Results:
Since 1983 in the United States, three cases of imported scrub typhus, all after travel to India, were confirmed, as well as six cases of murine typhus after travel to southeast Asia. At the CDC, 67 imported cases of tick typhus have been confirmed by indirect fluorescent antibody test since 1976; most illnesses occurred after travel to Africa.
Conclusion:
Rickettsial diseases are underrecognized by physicians, who should consider these diagnoses in travelers returning from endemic areas. Since effective treatment is available, prompt diagnosis and treatment are important. In all cases, specific serologic confirmation should be obtained.
Insights
Rickettsial diseases pose global health risks. Prompt diagnosis and treatment are crucial for travelers returning from endemic areas, as effective therapies exist.
Area of Science:
- Infectious Diseases
- Tropical Medicine
- Public Health
Background:
- Rickettsioses are significant global health concerns, exacerbated by international travel.
- Physician awareness of rickettsial diseases is critical for timely diagnosis.
Observation:
- Presents four imported rickettsial cases in Canada: two tick typhus, one scrub typhus, one murine typhus.
- Reviews North American data from the Centers for Disease Control (CDC) over ten years.
Findings:
- In the US, imported scrub typhus (post-India travel) and murine typhus (post-SE Asia travel) cases were confirmed.
- The CDC confirmed 67 imported tick typhus cases, primarily after travel to Africa.
Implications:
- Rickettsial diseases are often underdiagnosed by physicians.
- Early consideration of rickettsial diagnoses in returning travelers is essential.
- Prompt diagnosis and treatment are vital due to available effective therapies.
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