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Case Report: Family Cluster of Japanese Spotted Fever

Hiroki MatsuuraDepartment of General Internal Medicine, Mitoyo General Hospital, Kanonji, Kagawa, Japan;

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Kyoko YokotaDepartment of Infectious Disease, Kagawa Prefectural Central Hospital, Takamatsu, Kagawa, Japan

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Spotted fever group rickettsioses are transmitted by several types of arthropods (including ticks, chiggers, fleas, and lice) and are distributed worldwide. Japanese spotted fever (JSF) was discovered as an emerging rickettsiosis in 1984. The annual number of cases has increased 3-fold during the last decade. In Japan, JSF has been mainly reported in an area with warm climate that borders the Pacific Ocean. We describe a family/neighborhood cluster of three cases of JSF in an area of Japan that had previously not been considered endemic.

Author Notes

Address correspondence to Hiroki Matsuura, Department of GIM, Mitoyo General Hospital, 708, Himehama, Toyohama-cho, Kanonji-city, Kagawa 769-1695, Japan. E-mail: superonewex0506@yahoo.co.jp

Authors’ addresses: Hiroki Matsuura, Department of General Internal Medicine, Mitoyo General Hospital, Kanonji, Kagawa, Japan, E-mail: superonewex0506@yahoo.co.jp. Kyoko Yokota, Department of Infectious Disease, Kagawa Kenritsu Chuo Byoin, Takamatsu, Kagawa, Japan, E-mail: kyoyoko@med.kagawa-u.ac.jp.

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