Raoult D, Roux V, 1997. Rickettsioses as paradigms of new or emerging infectious diseases. Clin Microbiol Rev 10 : 694– 719.
Premaratna R, Loftis AD, Chandrasena TG, Dasch GA, de Silva HJ, 2008. Rickettsial infections and their clinical presentations in the western province of Sri Lanka: a hospital-based study. Int J Infect Dis 12 : 198– 202.
Babudieri B, 1959. Q fever: a zoonosis. Adv Vet Sci 5 : 82– 182.
Angelakis E, Raoult D, 2010. Q fever. Vet Microbiol 140 : 297– 309.
Fournier PE, Jensenius M, Laferl H, Vene S, Raoult D, 2002. Kinetics of antibody responses in Rickettsia africae and Rickettsia conorii infections. Clin Diagn Lab Immunol 9 : 324– 328.
Kularatne SA, Edirisingha JS, Gawarammana IB, Urakami H, Chenchittikul M, Kaiho I, 2003. Emerging rickettsial infections in Sri Lanka: the pattern in the hilly central province. Trop Med Int Health 8 : 803– 811.
Angelakis E, Botelho E, Socolovschi C, Sobas CR, Piketty C, Parola P, Raoult D, 2010. Murine typhus as a cause of fever in travelers from Tunisia and Mediterranean areas. J Travel Med 17 : 310– 315.
Phongmany S, Rolain JM, Phetsouvanh R, Blacksell SD, Soukkhaseum V, Rasachack B, Phiasakha K, Soukkhaseum S, Frichithavong K, Chu V, Keolouangkhot V, Martinez-Aussel B, Chang K, Darasavath C, Rattanavong O, Sisouphone S, Mayxay M, Vidamaly S, Parola P, Thammavong C, Heuangvongsy M, Syhavong B, Raoult D, White NJ, Newton PN, 2006. Rickettsial infections and fever, Vientiane, Laos. Emerg Infect Dis 12 : 256– 262.
Parola P, 2011. Rickettsia felis from a rare disease in the USA to a common cause of fever in sub-Saharan Africa. Clin Microbiol Infect 17 : 996– 1000.
Kovacova E, Sixl W, Stunzner D, Urvolgyi J, Kazar J, 1996. Serological examination of human and animal sera from six countries of three continents for the presence of rickettsial antibodies. Eur J Epidemiol 12 : 85– 89.
Sixl W, Wisidagama E, Stunzner D, Withalm H, Sixl-Voigt B, 1988. Serological examinations of dogs (Canis familiaris) in Colombo/Sri Lanka. Geogr Med Suppl 1 : 89– 92.
Sixl W, Wisidagama E, Stunzner D, Withalm H, Sixl-Voigt B, 1988. Serological examinations of crows in Colombo's slaughter-house Sri Lanka. Geogr Med Suppl 1 : 87– 88.
Sixl W, Withalm H, Stunzner D, Wisidagama E, 1988. Serological examinations of slaughtered animals (cattle and goats) in the slaughter-house of Colombo/Sri Lanka towards antibodies against brucellosis, Q-fever, RMSF-Rickettsia-group, listeriosis, echinococcosis and adenoviruses. Geogr Med Suppl 1 : 77– 80.
Parola P, Davoust B, Raoult D, 2005. Tick- and flea-borne rickettsial emerging zoonoses. Vet Res 36 : 469– 492.
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Current serological evidence suggests the presence of scrub typhus and spotted fever group (SFG) rickettsiosis in Sri Lanka. Our objective was to identify rickettsial agents/Q fever as aetiological causes for patients who were presumed having rickettsioses by the presence of an eschar or a rash. Sera from patients with unknown origin fever from Matara were tested by immunofluorescence for SFG rickettsial antigens, typhus group rickettsiae, Orientia tsutsugamushi, and Coxiella burnetii antigens. Thirteen (7.3%) of the patients presented with a rash, 11 (6.1%) had an inoculation eschar, and 16 patients recalled a tick or flea bite. We found that 25 (14%) patients had scrub typhus, 6 (3%) SFG rickettsioses, 3 (1.6%) acute Q fever, 3 (1.6%) murine typhus, and 3 (1.6%) were infected by Rickettsia felis. In addition to already described scrub and murine typhus, we found that R. felis and C. burnetii infections should be considered in Sri Lanka.
Authors' addresses: Emmanouil Angelakis, Anne Bregliano, Cristina Socolovschi, Sophie Edouard, Pierre Edouard Fournier, Didier Raoult, and Philippe Parola, Université Aix Marseille, URMITE CNRS-IRD UMR 6236, 27 Bd Jean Moulin, 13385 Marseille cedex 05, France, E-mails: angelotasmanos@msn.com, neunetts@hotmail.com, cristina.socolovschi@univmed.fr, soph.edouard@gmail.com, pierre-edouard.fournier@univmed.fr, didier.raoult@gmail.com, and philippe.parola@univmed.fr. Aruna Munasinghe, District General Hospital, Matara, Sri Lanka, E-mail: drakmunasinghe@gmail.com. Iranga Yaddehige, District General Hospital, Matara, Sri Lanka, E-mail: iranga1@yahoo.com. Veranja Liyanapathirana and Vasanthi Thevanesam, Teaching Hospital Kandy, Kandy, Sri Lanka, E-mails: veranjacl@yahoo.com and vasanthithevanesam@yahoo.com.
Raoult D, Roux V, 1997. Rickettsioses as paradigms of new or emerging infectious diseases. Clin Microbiol Rev 10 : 694– 719.
Premaratna R, Loftis AD, Chandrasena TG, Dasch GA, de Silva HJ, 2008. Rickettsial infections and their clinical presentations in the western province of Sri Lanka: a hospital-based study. Int J Infect Dis 12 : 198– 202.
Babudieri B, 1959. Q fever: a zoonosis. Adv Vet Sci 5 : 82– 182.
Angelakis E, Raoult D, 2010. Q fever. Vet Microbiol 140 : 297– 309.
Fournier PE, Jensenius M, Laferl H, Vene S, Raoult D, 2002. Kinetics of antibody responses in Rickettsia africae and Rickettsia conorii infections. Clin Diagn Lab Immunol 9 : 324– 328.
Kularatne SA, Edirisingha JS, Gawarammana IB, Urakami H, Chenchittikul M, Kaiho I, 2003. Emerging rickettsial infections in Sri Lanka: the pattern in the hilly central province. Trop Med Int Health 8 : 803– 811.
Angelakis E, Botelho E, Socolovschi C, Sobas CR, Piketty C, Parola P, Raoult D, 2010. Murine typhus as a cause of fever in travelers from Tunisia and Mediterranean areas. J Travel Med 17 : 310– 315.
Phongmany S, Rolain JM, Phetsouvanh R, Blacksell SD, Soukkhaseum V, Rasachack B, Phiasakha K, Soukkhaseum S, Frichithavong K, Chu V, Keolouangkhot V, Martinez-Aussel B, Chang K, Darasavath C, Rattanavong O, Sisouphone S, Mayxay M, Vidamaly S, Parola P, Thammavong C, Heuangvongsy M, Syhavong B, Raoult D, White NJ, Newton PN, 2006. Rickettsial infections and fever, Vientiane, Laos. Emerg Infect Dis 12 : 256– 262.
Parola P, 2011. Rickettsia felis from a rare disease in the USA to a common cause of fever in sub-Saharan Africa. Clin Microbiol Infect 17 : 996– 1000.
Kovacova E, Sixl W, Stunzner D, Urvolgyi J, Kazar J, 1996. Serological examination of human and animal sera from six countries of three continents for the presence of rickettsial antibodies. Eur J Epidemiol 12 : 85– 89.
Sixl W, Wisidagama E, Stunzner D, Withalm H, Sixl-Voigt B, 1988. Serological examinations of dogs (Canis familiaris) in Colombo/Sri Lanka. Geogr Med Suppl 1 : 89– 92.
Sixl W, Wisidagama E, Stunzner D, Withalm H, Sixl-Voigt B, 1988. Serological examinations of crows in Colombo's slaughter-house Sri Lanka. Geogr Med Suppl 1 : 87– 88.
Sixl W, Withalm H, Stunzner D, Wisidagama E, 1988. Serological examinations of slaughtered animals (cattle and goats) in the slaughter-house of Colombo/Sri Lanka towards antibodies against brucellosis, Q-fever, RMSF-Rickettsia-group, listeriosis, echinococcosis and adenoviruses. Geogr Med Suppl 1 : 77– 80.
Parola P, Davoust B, Raoult D, 2005. Tick- and flea-borne rickettsial emerging zoonoses. Vet Res 36 : 469– 492.
Past two years | Past Year | Past 30 Days | |
---|---|---|---|
Abstract Views | 255 | 203 | 12 |
Full Text Views | 445 | 9 | 0 |
PDF Downloads | 241 | 4 | 0 |