Spotted Fever Group Rickettsioses in Israel, 2010-2019

被引：3

作者：

Cohen, Regev ^{[1
,2
]}

Finn, Talya ^{[1
,2
]}

Babushkin, Frida ^{[1
]}

Paran, Yael ^{[3
,4
]}

Ben Ami, Ronen ^{[3
,4
]}

Atamna, Alaa ^{[4
,5
]}

Reisfeld, Sharon ^{[2
,6
]}

Weber, Gabriel ^{[2
,7
]}

Petersiel, Neta ^{[8
]}

Zayyad, Hiba ^{[9
,10
]}

Leshem, Eyal ^{[4
,11
]}

Weinberger, Miriam ^{[4
,12
]}

Maor, Yasmin ^{[4
,13
]}

Makhoul, Nicola ^{[10
,14
]}

Nesher, Lior ^{[15
,16
]}

Zaide, Galia ^{[17
]}

Klein, Dar ^{[17
]}

Beth-Din, Adi ^{[17
]}

Atiya-Nasagi, Yafit ^{[17
]}

机构：

[1] Laniado Hosp, Netanya, Israel

[2] Technion Israel Inst Technol, Haifa, Israel

[3] Tel Aviv Sourasky Med Ctr, Tel Aviv, Israel

[4] Tel Aviv Univ, Tel Aviv, Israel

[5] Rabin Med Ctr, Petah Tiqwa, Israel

[6] Hillel Yaffe Med Ctr, Hadera, Israel

[7] Carmel Hosp, Haifa, Israel

[8] Rambam Med Ctr, Haifa, Israel

[9] Padeh Poriya Med Ctr, Tiberias, Israel

[10] Bar Ilan Univ, Safed, Israel

[11] Sheba Med Ctr, Ramat Gan, Israel

[12] Shamir Formerly Assaf Harofeh Med Ctr, Zerifin, Israel

[13] Edith Wolfson Med Ctr, Holon, Israel

[14] Galilee Med Ctr, Nahariyya, Israel

[15] Soroka Med Ctr, Beer Sheva, Israel

[16] Ben Gurion Univ Negev, Beer Sheva, Israel

[17] Israel Inst Biol Res, Ness Ziona, Israel

来源：

EMERGING INFECTIOUS DISEASES | 2021年 / 27卷 / 08期

关键词：

RHIPICEPHALUS-SANGUINEUS TICKS; CONORII SUBSP ISRAELENSIS; RISK-FACTORS; SIBIRICA-MONGOLITIMONAE; INFECTION; DIAGNOSIS;

D O I：

10.3201/eid2708.203661

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

In a multicenter, nationwide, retrospective study of patients hospitalized with spotted fever group rickettsiosis in Israel during 2010-2019, we identified 42 cases, of which 36 were autochthonous. The most prevalent species was the Rickettsia conorii Israeli tick typhus strain (n = 33, 79%); infection with this species necessitated intensive care for 52% of patients and was associated with a 30% fatality rate. A history of tick bite was rare, found for only 5% of patients; eschar was found in 12%; and leukocytosis was more common than leukopenia. Most (72%) patients resided along the Mediterranean shoreline. For 3 patients, a new Rickettsia variant was identified and had been acquired in eastern, mountainous parts of Israel. One patient had prolonged fever before admission and clinical signs resembling tickborne lymphadenopathy. Our findings suggest that a broad range of Rickettsia species cause spotted fever group rickettsiosis in Israel.

引用

页码：2117 / 2126

页数：10

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