Nilsson K
Section of Clinical Microbiology, Department of Medical Sciences, Uppsala University Hospital, Uppsala, Sweden.
J Infect. 2009 Jan;58(1):79-82. doi: 10.1016/j.jinf.2008.06.005. Epub 2008 Jul 22.
The spotted fever rickettsia, Rickettsia helvetica, is mostly reported to present a flu-like self-limiting disease. In the present case, however, where the presence of R. helvetica in the blood was verified by PCR together with serologic evidence of infection, the patient presented a different clinical picture with acute febrile illness, rash and long-lasting myasthenia.
斑点热立克次体,即瑞士立克次体,大多报道显示会引发一种类似流感的自限性疾病。然而,在本病例中,通过聚合酶链反应(PCR)证实血液中存在瑞士立克次体,同时有感染的血清学证据,患者却呈现出不同的临床症状,表现为急性发热性疾病、皮疹和持续性肌无力。