Molecular Identification of Pathogenic Bacteria in Eschars from Acute Febrile Patients, Senegal

Oleg Mediannikov Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes Institut de Recherche pour le Développement 198, Centre National de Recherche Scientifique 7278, Université de la Méditerranée, Marseille, France; Campus Commun Université Cheikh Anta Diop-Institut de Recherche pour le Développement of Hann, Dakar, Senegal

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Cristina Socolovschi Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes Institut de Recherche pour le Développement 198, Centre National de Recherche Scientifique 7278, Université de la Méditerranée, Marseille, France; Campus Commun Université Cheikh Anta Diop-Institut de Recherche pour le Développement of Hann, Dakar, Senegal

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Matthieu Million Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes Institut de Recherche pour le Développement 198, Centre National de Recherche Scientifique 7278, Université de la Méditerranée, Marseille, France; Campus Commun Université Cheikh Anta Diop-Institut de Recherche pour le Développement of Hann, Dakar, Senegal

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Cheikh Sokhna Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes Institut de Recherche pour le Développement 198, Centre National de Recherche Scientifique 7278, Université de la Méditerranée, Marseille, France; Campus Commun Université Cheikh Anta Diop-Institut de Recherche pour le Développement of Hann, Dakar, Senegal

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Hubert Bassene Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes Institut de Recherche pour le Développement 198, Centre National de Recherche Scientifique 7278, Université de la Méditerranée, Marseille, France; Campus Commun Université Cheikh Anta Diop-Institut de Recherche pour le Développement of Hann, Dakar, Senegal

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Georges Diatta Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes Institut de Recherche pour le Développement 198, Centre National de Recherche Scientifique 7278, Université de la Méditerranée, Marseille, France; Campus Commun Université Cheikh Anta Diop-Institut de Recherche pour le Développement of Hann, Dakar, Senegal

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Florence Fenollar Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes Institut de Recherche pour le Développement 198, Centre National de Recherche Scientifique 7278, Université de la Méditerranée, Marseille, France; Campus Commun Université Cheikh Anta Diop-Institut de Recherche pour le Développement of Hann, Dakar, Senegal

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Didier Raoult Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes Institut de Recherche pour le Développement 198, Centre National de Recherche Scientifique 7278, Université de la Méditerranée, Marseille, France; Campus Commun Université Cheikh Anta Diop-Institut de Recherche pour le Développement of Hann, Dakar, Senegal

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Fever caused by Rickettsia felis was recently shown to play an important role in infectious diseases morbidity in sub-Saharan Africa. We collected 68 cotton swabs from fever-associated eschars in four different regions of Senegal. In 5 of 68 eschar samples (7.4%), we have identified DNA from R. felis. In 49 of 68 eschar samples (72.1%), we have identified DNA from Staphylococcus aureus. In 35 of 68 eschar samples (51.5%), we have identified DNA from Streptococcus pyogenes, and in 4 of 68 eschar samples (5.9%), we have identified DNA from Streptococcus pneumoniae. In 34 cases, S. aureus was found together with S. pyogenes. DNA from R. felis was also found in swabs from the skin of the healthy Senegalese villagers (3 of 60; 5%) but not French urbanites. The presence of S. aureus and S. pyogenes was significantly associated with the presence of eschars in febrile patients compared with the healthy skin from the control group. Finally, we confirmed that Senegal is an endemic region for R. felis, which is found in both eschars and healthy skin swabs.

Author Notes

* Address correspondence to Didier Raoult, Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes IRD 198, CNRS 7278, Université de la Méditerranée, 27 Bd Jean Moulin, Marseille 13005, France. E-mail: didier.raoult@gmail.com

Financial support: The authors thank the Agence National de Recherche, Grant MALEMAF (Research of Emergent Pathogens in Africa), and the La Fondation Méditerranée Infection for financial support.

Authors' addresses: Oleg Mediannikov, Cristina Socolovschi, Matthieu Million, and Didier Raoult, Faculte de Medecine, Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes, Unité Mixte de Recherche Institut de Recherche pour le Développement 198, Marseille, France, E-mails: oleg.mediannikov@ird.fr, cristina.socolovschi@univ-amu.fr, matthieumillion@gmail.com, and didier.raoult@gmail.com. Cheikh Sokhna, Hubert Bassene, and Georges Diatta, Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes, Unité Mixte de Recherche Institut de Recherche pour le Développement 198, Dakar, Senegal, E-mails: cheikh.sokhna@ird.fr, hubert.bassene@ird.fr, and georges.diatta@ird.fr. Florence Fenollar, Faculté de Médecine, Unité des Rickettsies, Marseille, France, E-mail: florence.fenollar@univ-amu.fr.

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