旅行者从赞比亚返回后感染的地中海斑疹热病例。

The case of Mediterranean spotted fever of the traveler returned from Zambia.

机构信息

Sapporo City General Hospital Department of Infectious Diseases, 13-1-1, Kita-11-jonishi, Chuo-ku, Sapporo 060-8604, Japan.

Laboratory of Parasitology, Department of Disease Control, Faculty of Veterinary Medicine, Hokkaido University, Sapporo: Kita 8, Nishi 5, Kita-ku, Sapporo 060-0808, Japan.

出版信息

Ticks Tick Borne Dis. 2024 Jul;15(4):102347. doi: 10.1016/j.ttbdis.2024.102347. Epub 2024 May 6.

DOI:10.1016/j.ttbdis.2024.102347

Abstract

We report the case of a traveler who returned from Zambia and was diagnosed with Mediterranean spotted fever (MSF), an infectious disease caused by Rickettsia conorii conorii. The patient presented to Sapporo City General Hospital with symptoms of fever, malaise, headache, and rash. The pathogen was identified by Polymerase Chain Reaction assays and subsequent analyses. The patient improved with 10-day treatment of oral doxycycline. Although some cases of MSF have been reported in sub-Saharan Africa, none have been reported in Zambia. Rhipicephalus sanguineus sensu lato, the vector of the Rickettsia conorii conorii, has been found in various areas of Zambia. Our case report highlights the potential threat of Mediterranean spotted fever in urban areas of Zambia.

摘要

我们报告了一例从赞比亚返回的旅行者，该旅行者被诊断患有地中海斑疹热（MSF），这是一种由恙虫病东方体引起的传染病。该患者因发热、乏力、头痛和皮疹到札幌市综合医院就诊。病原体通过聚合酶链反应检测和后续分析确定。该患者接受 10 天的口服多西环素治疗后病情好转。虽然在撒哈拉以南非洲已经报告了一些地中海斑疹热病例，但在赞比亚尚未报告。在赞比亚的不同地区已经发现了携带恙虫病东方体的 Rhipicephalus sanguineus sensu lato，这是恙虫病东方体的传播媒介。我们的病例报告强调了地中海斑疹热在赞比亚城市地区的潜在威胁。