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[布宜诺斯艾利斯省恩塞纳达市帕克立克次体引起的地方性斑疹热病例]

[Autochthonous case of spotted fever caused by Rickettsia parkeri in Ensenada, Buenos Aires].

作者信息

Villalba Apestegui Pedro, Nava Santiago, Brignone Julia, Sen Carina, Esposto Amadeo, Angeletti Virginia

机构信息

Servicio de Infectología, Hospital Escuela de Agudos Dr. Ramón Madariaga, Posadas, Misiones, Argentina. E-mail:

Laboratorio de Parasitología e Inmunología, Instituto Nacional de Tecnología Agropecuaria, Estación Experimental Agropecuaria Rafaela, Santa Fe, Argentina.

出版信息

Medicina (B Aires). 2018;78(3):203-206.

Abstract

We present a case of spotted fever occurred in an adult residing in Ensenada, Buenos Aires province in February 2016. The patient presented with an acute febrile syndrome associated with a skin necrotic lesion on the left leg secondary to a tick bite. The general symptoms were a maculopapular rash, headache, myalgia, and arthralgias. Seroconversion of anti-Rickettsia specific IgG antibodies confirmed recent infection. The nucleotidic and aminoacidic sequences of a gltA gen fragment matched 100% the sequences of R. parkeri strains from Argentina and other countries of America. The patient responded well to treatment with doxycycline.

摘要

我们报告了一例2016年2月发生在布宜诺斯艾利斯省恩塞纳达一名成年居民身上的斑点热病例。患者表现为急性发热综合征,伴有因蜱叮咬导致左腿出现皮肤坏死性病变。一般症状包括斑丘疹、头痛、肌痛和关节痛。抗立克次氏体特异性IgG抗体的血清转化证实近期感染。gltA基因片段的核苷酸和氨基酸序列与来自阿根廷及美洲其他国家的帕克立克次氏体菌株序列100%匹配。患者接受强力霉素治疗后反应良好。

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