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Phylogenetic Analysis of the 56 kDa Protein Genes of Orientia tsutsugamushi in Southwest Area of Korea

Yu-Mi LeeDivision of Infectious Diseases, Departments of Internal Medicine, School of Medicine, Chosun University, Gwangju, Korea; Research Center for Resistant Cells, College of Medicine, Chosun University, Gwangju, Korea; Department of Pediatrics, Seonam University College of Medicine, Namwon, Korea; Department of Public Health, Chosun University, School of Medicine, Gwangju City, Republic of Korea

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Dong-Min KimDivision of Infectious Diseases, Departments of Internal Medicine, School of Medicine, Chosun University, Gwangju, Korea; Research Center for Resistant Cells, College of Medicine, Chosun University, Gwangju, Korea; Department of Pediatrics, Seonam University College of Medicine, Namwon, Korea; Department of Public Health, Chosun University, School of Medicine, Gwangju City, Republic of Korea

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Seung-Hyun LeeDivision of Infectious Diseases, Departments of Internal Medicine, School of Medicine, Chosun University, Gwangju, Korea; Research Center for Resistant Cells, College of Medicine, Chosun University, Gwangju, Korea; Department of Pediatrics, Seonam University College of Medicine, Namwon, Korea; Department of Public Health, Chosun University, School of Medicine, Gwangju City, Republic of Korea

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Mi-Sun JangDivision of Infectious Diseases, Departments of Internal Medicine, School of Medicine, Chosun University, Gwangju, Korea; Research Center for Resistant Cells, College of Medicine, Chosun University, Gwangju, Korea; Department of Pediatrics, Seonam University College of Medicine, Namwon, Korea; Department of Public Health, Chosun University, School of Medicine, Gwangju City, Republic of Korea

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Ganesh Prasad NeupaneDivision of Infectious Diseases, Departments of Internal Medicine, School of Medicine, Chosun University, Gwangju, Korea; Research Center for Resistant Cells, College of Medicine, Chosun University, Gwangju, Korea; Department of Pediatrics, Seonam University College of Medicine, Namwon, Korea; Department of Public Health, Chosun University, School of Medicine, Gwangju City, Republic of Korea

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This study was conducted to determine which genotypes were present in southwestern Korea. Nested polymerase chain reaction (PCR) and DNA sequence analysis targeting the Orientia tsutsugamushi-specific 56-kDa protein gene was performed with samples of blood and eschar. Of the 69 PCR-positive samples, 61 clustered with the Boryong previously isolated in Korea. CUH 4-6 had sequence homology of 100% with Kato, and CUH 4-3 had homology of 99.8% with Kato and formed the Kato cluster. CUH 4-57, CUH 4-31, CUH 4-142, and CUH 4-324 formed a Kawasaki cluster. CUH 4-271 had sequence homology of 100% with Jecheon and formed a Karp cluster. CUH 4-117 had homology of 99.8% with Neimeng-65, and Gilliam cluster. The most common genotype of O. tsutsugamushi in the southwestern part of Korea is the Boryong genotype. We also identified O. tsutsugamushi of the Kato, Neimeng-65 and Kawasaki genotypes, which had not been identified before in Korea.

Author Notes

*Address correspondence to Dong-Min Kim, Department of Internal Medicine, Chosun University College of Medicine, 588 Seosuk-dong, Dong-gu, Gwangju, 510-717, Republic of Korea. E-mail: drongkim@chosun.ac.kr

Authors' addresses: Yu-Mi Lee, Dong-Min Kim, and Ganesh Prasad Neupane, Division of Infectious Diseases, Department of Internal Medicine, Chosun University, School of Medicine, Gwangju, Republic of Korea, E-mails: moksha1001@hanmail.net, drongkim@chosun.ac.kr, and neupaneganesh@yahoo.com. Mi-Sun Jang, Division of Infectious Diseases Department of Internal Medicine and Department of Public Health, Chosun University, School of Medicine, Gwangju, Republic of Korea, E-mail: sangkim3507@nate.com. Seung-Hyun Lee, Department of Pediatrics, Seonam University, College of Medicine, nam-won, Republic of Korea, E-mail: 31gmlakd@hanmail.net.

Reprint requests: Dong-Min Kim, Division of Infectious Diseases, Department of Internal Medicine, Chosun University College of Medicine, 588 Seosuk-dong, Dong-gu, Gwangju, 501-717, Republic of Korea, E-mail: drongkim@chosun.ac.kr.

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