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Volume 14, Number 9—September 2008

Synopsis

Questions on Mediterranean Spotted Fever a Century after Its Discovery

Clarisse Rovery, Philippe Brouqui, and Didier RaoultComments to Author 
Author affiliations: Unité des Rickettsies, Marseille, France;

Main Article

Table 2

Distribution, vector, and main clinical features of the different subspecies of Rickettsia conorii complex

Rickettsia Vector tick Geographic repartition Human disease name Symptoms present, % patients
Fatal forms? (% patients)
Fever Inoculation eschar Rash
R. conorii conorii, isolates Malish, Moroccan Kenyan Rhipicephalus sp., Haemaphysalis leachii Mediterranean area (southern Europe, northern Africa), Croatia, Slovenia, Kenya, Somalia, South Africa, and surrounding the Black Sea (Turkey, Bulgaria, Ukraine, Romania) Mediterranean spotted fever 91–100 20–87 93–100 Yes 
(0–18.1)
R. conorii israelensis Rh. sanguineus Israel, Portugal, Sicily Israeli spotted fever 100 0–46 98–100 Yes 
(0–3.5)
R. conorii caspia Rh. sanguineus, R. pumilio Astrakhan region, Chad, Kosovo Astrakhan spotted fever 100 23 94 No
R. conorii indica Rh. sanguineus, Boophilus microplus, H. leachii India, Pakistan Indian tick typhus 100 Rare 100 (frequently purpuric) No

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