From the Faculty of Health Sciences, Ben-Gurion University of the Negev.
Clinical Microbiology Laboratory, Soroka University Medical Center.
Pediatr Infect Dis J. 2021 Dec 1;40(12):e521-e523. doi: 10.1097/INF.0000000000003303.
We assessed serology results of clinically suspected rickettsiosis episodes in the hospital setting. Overall, 322 of 963 (33%) cases were serology positive. Among those, rash rates were low (30%), murine typhus (MT) predominated over spotted fever and IgM positivity rate was higher in MT. These findings suggest that during acute rickettsiosis, serology may reliably identify MT infection but may underdiagnose spotted fever.
我们评估了医院环境中临床疑似立克次体病发作的血清学结果。总体而言，963 例病例中有 322 例（33%）血清学阳性。在这些病例中，皮疹发生率较低（30%），鼠型斑疹伤寒（MT）比斑点热更为常见，且 MT 的 IgM 阳性率更高。这些发现表明，在急性立克次体病期间，血清学可能可靠地识别 MT 感染，但可能会漏诊斑点热。
