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Rickettsiosis
Specialty Infectious disease

A rickettsiosis is a disease caused by intracellular bacteria.

Signs and symptoms

Cause

Rickettsioses can be divided into a spotted fever group (SPG) and typhus group (TG). [1]

In the past, rickettsioses were considered to be caused by species of Rickettsia. [2] However, scrub typhus is still considered a rickettsiosis, even though the causative organism has been reclassified from Rickettsia tsutsugamushi to Orientia tsutsugamushi.[ citation needed] Examples of rickettsioses include typhus, both endemic and epidemic, Rocky Mountain spotted fever, and Rickettsialpox.[ citation needed] Organisms involved include Rickettsia parkeri. [3]

Many new causative organisms have been identified in the last few decades. [4] Most are in the genus Rickettsia, but scrub typhus is in the genus Orientia. [5]

Diagnosis

No rapid laboratory tests are available to diagnose rickettsial diseases early in the course of illness, and serologic assays usually take 10–12 days to become positive. Research is indicating that swabs of eschars may be used for molecular detection of rickettsial infections. [6] [7]

Treatment

Doxycycline has been used in the treatment of rickettsial infection. [8]

References

  1. ^ Choi YJ, Jang WJ, Ryu JS, et al. (February 2005). "Spotted fever group and typhus group rickettsioses in humans, South Korea". Emerging Infect. Dis. 11 (2): 237–44. doi: 10.3201/eid1102.040603. PMC  3320442. PMID  15752441.
  2. ^ Raoult D, Roux V (October 1997). "Rickettsioses as paradigms of new or emerging infectious diseases". Clin. Microbiol. Rev. 10 (4): 694–719. doi: 10.1128/CMR.10.4.694. PMC  172941. PMID  9336669.
  3. ^ Paddock CD, Finley RW, Wright CS, et al. (November 2008). "Rickettsia parkeri rickettsiosis and its clinical distinction from Rocky Mountain spotted fever". Clin. Infect. Dis. 47 (9): 1188–96. doi: 10.1086/592254. PMID  18808353.
  4. ^ Parola P, Paddock CD, Raoult D (October 2005). "Tick-Borne Rickettsioses around the World: Emerging Diseases Challenging Old Concepts". Clin. Microbiol. Rev. 18 (4): 719–56. doi: 10.1128/CMR.18.4.719-756.2005. PMC  1265907. PMID  16223955.
  5. ^ Unsworth NB, Stenos J, Faa AG, Graves SR (July 2007). "Three Rickettsioses, Darnley Island, Australia". Emerging Infect. Dis. 13 (7): 1105–7. doi: 10.3201/eid1307.050088. PMC  2878210. PMID  18214193.
  6. ^ Angelakis, Emmanouil; Richet, Hervé; Rolain, Jean-Marc; La Scola, Bernard; Raoult, Didier (2012). "Comparison of real-time quantitative PCR and culture for the diagnosis of emerging Rickettsioses". PLOS Neglected Tropical Diseases. 6 (3): e1540. doi: 10.1371/journal.pntd.0001540. ISSN  1935-2735. PMC  3295807. PMID  22413026.
  7. ^ Giulieri, Stefano; Jaton, Katia; Cometta, Alain; Trellu, Laurence T.; Greub, Gilbert (February 2012). "Development of a duplex real-time PCR for the detection of Rickettsia spp. and typhus group rickettsia in clinical samples". FEMS Immunology and Medical Microbiology. 64 (1): 92–97. doi: 10.1111/j.1574-695X.2011.00910.x. ISSN  1574-695X. PMID  22098502.
  8. ^ "Rickettsial Infection: Background, Pathophysiology, Etiology". reference.medscape.com.

External links