巴西东北部一名患者患斑疹热死亡病例。
Fatal case of spotted fever in a patient from Northeastern Brazil.
作者信息
Oliveira Stefan Vilges de, Costa Raylene Medeiros Ferreira, Ferreira Geane, Pereira Simone Valéria Costa, Amorim Marinete, Monteiro Maria Fernanda Melo, Alves Leucio Câmara, Gazeta Gilberto Salles
机构信息
Secretaria de Vigilância em Saúde, Ministério da Saúde, Brasília, Distrito Federal, Brazil.
Secretaria de Saúde do Estado de Pernambuco, Recife, Pernambuco, Brazil.
出版信息
Rev Inst Med Trop Sao Paulo. 2018;60:e21. doi: 10.1590/s1678-9946201860021. Epub 2018 May 28.
Spotted fevers are diseases caused by bacterial agents belonging to the spotted-fever (SF) group of the genus Rickettsia. The first documented case of SF in Pernambuco State, Northeast Brazil, was reported here. Also, it is the first case described of fatal SF in Northeast region of Brazil. The patient was a resident of Arcoverde municipality and the probable site of infection lies in Sertania municipality, both in Pernambuco State, a semi-arid region of Brazil. The patient had not visited other areas where SF is endemic. The patient showed clinical manifestations and epidemiological exposure compatible with SF, and the infection was confirmed by molecular biology techniques.
斑点热是由立克次氏体属斑点热（SF）组的细菌病原体引起的疾病。本文报道了巴西东北部伯南布哥州首例有记录的SF病例。此外，这也是巴西东北部地区首例描述的致命性SF病例。患者是阿尔科韦尔迪市居民，可能的感染地点位于塞尔塔尼亚市，二者均在巴西半干旱地区伯南布哥州。患者未去过其他SF流行地区。患者表现出与SF相符的临床表现和流行病学暴露情况，且感染通过分子生物学技术得以确诊。
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