Pretorius Anne-Marié, Birtles Richard J
Department of Medical Microbiology, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa.
Emerg Infect Dis. 2004 Jan;10(1):125-6. doi: 10.3201/eid1001.020662.
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.
我们报告了非洲首例实验室确诊的蒙氏立克次体感染病例。该患者因脚趾上的焦痂寻求治疗;随后出现淋巴管炎、严重头痛和发热。在接受强力霉素治疗后,症状迅速缓解。蒙氏立克次体感染通过血清学检测和焦痂材料活检标本中基于分子的病原体检测进行回顾性诊断。