描述了巴拿马的两例落矶山斑点热新病例，以及在巴拿马城的一个城市地区，在 Rhipicephalus sanguineus s.l. 中同时感染了 Rickettsia rickettsii。
Descriptions of two new cases of Rocky Mountain spotted fever in Panama, and coincident infection with Rickettsia rickettsii in Rhipicephalus sanguineus s.l. in an urban locality of Panama City, Panama.
机构信息
Instituto Conmemorativo Gorgas de Estudios de la Salud, Ciudad de Panamá, Panama.
Hospital de Especialidades Pediátricas, Panama.
出版信息
Epidemiol Infect. 2018 May;146(7):875-878. doi: 10.1017/S0950268818000730. Epub 2018 Apr 5.
Abstract
The clinical and pathologic characterisation of two fatal cases of tick-borne rickettsiosis in rural (El Valle) and urban (City of Panama) Panama are described. Clinical and autopsy findings were non-specific, but the molecular analysis was used to identify Rickettsia rickettsii in both cases. No ticks were collected in El Valle, while in the urban case, R. rickettsii was detected in Rhipicephalus sanguineus s.l., representing the first molecular finding in this tick in Panama and Central America.
摘要
描述了在巴拿马农村（埃尔瓦莱）和城市（巴拿马城）的两例致命蜱传斑疹伤寒病例的临床和病理特征。临床和尸检结果无特异性，但分子分析用于确定两例均为立克次体。在埃尔瓦莱未采集到蜱，而在城市病例中，在 Rhipicephalus sanguineus s.l. 中检测到了 Rickettsia rickettsii，这是在巴拿马和中美洲首次在这种蜱中发现该病原体。
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