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Tickborne Rickettsiosis

by M. M. LYSKOVTSEV, translated by Mrs. Maria Tittel, edited by Harry Hoogstraal. 99 pages, illustrated, paperbound. Entomological Society of America (Miscellaneous Publications, Vol. 6, No. 2, pp. 41–140), Baltimore, Maryland. 1968, $4.25

The clinically oriented author of this substantial monographic treatment of North Asian (Siberian) tick typhus (NAtt) compares the symptoms and other medical data of his 248 patients with those in other reports.

The first one-third of the treatise, a review of published reports, is useful to our readers in recording surprisingly critically read reports, many of which cover the "black-out" period of nonavailable Soviet publications during and following World War II and often "not referenced in the original Russian text," but indexed editorially.

Most of the detailed, new and reported information is found in the last 66 pages on medical aspects—clinical, diagnostic, therapeutic, and prophylactic features. With other characteristic symptoms, primary lesions (tick-bites) and lymphadenopathy are pathognomonic (77.6% of Dr. Lyskovtsev's patients had eschars), which are lacking in American (Rocky Mountain) spotted fever (Asf). The reduction of "diagnostic errors (60.5%)" was one of the purposes of this review.