[参加南非女性狩猎旅行的人员中非洲立克次体感染情况]
[Rickettsia africae infection among participants in a women's safari to South Africa].
作者信息
Atias Drorit, Meltzer Eyal, Leshem Eyal, Schwartz Eli
机构信息
The Center for Geographic Medicine and Department of Medicine C, Chaim Sheba Medical Center, Tel Hashomer, and the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
出版信息
Harefuah. 2010 Sep;149(9):572-5, 620.
PREFACE
In recent years infections with Rickettsia africae (African tick bite fever) have become a common and important cause of febrile illness among travelers returning from Sub-Saharan Africa, primarily from South Africa.
METHODS
A prospective observational study, involving 671 participants in safaris to South Africa during 2008.
RESULTS
Nine participants (1.34%) were diagnosed with African tick bite fever. The symptoms included fever, headache, muscle pain, lymphadenopathy, vesicular rash, and an eschar. Lack of familiarity with the disease led to an incorrect diagnosis and delayed treatment with doxycycline in a number of cases.
CONCLUSIONS
African tick bite fever is frequent among Israeli travelers to Sub-Saharan Africa. Travelers should be counseled on tick bite prevention. Increased awareness of the disease among Israeli physicians may prevent diagnostic delays.
前言
近年来，非洲立克次体感染（非洲蜱咬热）已成为从撒哈拉以南非洲，主要是从南非返回的旅行者中发热性疾病的常见且重要病因。
方法
一项前瞻性观察性研究，涉及2008年期间前往南非进行游猎的671名参与者。
结果
9名参与者（1.34%）被诊断为非洲蜱咬热。症状包括发热、头痛、肌肉疼痛、淋巴结病、水疱性皮疹和焦痂。在一些病例中，由于对该疾病不熟悉导致诊断错误并延误了强力霉素治疗。
结论
非洲蜱咬热在前往撒哈拉以南非洲的以色列旅行者中很常见。应向旅行者提供蜱虫叮咬预防方面的建议。提高以色列医生对该疾病的认识可能会避免诊断延误。
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