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Volume 15, Number 6—June 2009
Dispatch

Diagnosis of Queensland Tick Typhus and African Tick Bite Fever by PCR of Lesion Swabs

Jin-Mei Wang, Bernard J. HudsonComments to Author , Matthew R. Watts, Tom Karagiannis, Noel J. Fisher, Catherine Anderson, and Paul Roffey
Author affiliations: Royal North Shore Hospital, St. Leonards, Sydney, Queensland, Australia (J.-M. Wang, B.J. Hudson, M.R. Watts, T. Karagiannis, N.J. Fisher); Woodland Street Medical Practice, Balgowlah, New South Wales, Australia (C. Anderson); Charles Sturt University, Wagga Wagga, New South Wales, Australia (P. Roffey)

Main Article

Table

PCR results by specimen, relation to clinical signs, and doses of doxycycline taken, Australia*

Case no. Specimen type Duration of lesion, d Duration of fever, d No. 100-mg doxycycline doses PCR result
1
EDTA Blood, EDTA NA 3 2
Eschar Eschar, Amies, dry 6 3 2
Eschar Eschar, virus, dry 6 3 2 +
Vesicle Vesicle, virus, dry 6 3 2 +
Vesicle
Vesicle, virus, dry
7
4
4

2
Blood Blood, EDTA NA 3 0
Eschar Eschar, Amies, dry 6 3 0 +
Eschar Eschar, virus, dry 8 5 0 +
Eschar Eschar, virus, saline 10 7 4 +
Vesicle Vesicle, Amies, dry 1 3 0
Vesicle Vesicle, virus, dry 3 5 0
Vesicle Vesicle, virus, saline 5 7 4
Palatal lesion
Lesion, virus, dry
5
7
4
+
3
Blood Blood, EDTA NA 1 0
Eschar Eschar, virus, saline 10 2 1 +
Vesicle
Vesicle, virus, saline
6
2
1
+
4
Blood Blood, EDTA NA 5 2
Eschar Eschar, virus, dry 10 5 2 +
Vesicle Vesicle, virus, dry 4 5 2 +
Vesicle Vesicle, virus, dry 4 5 2 +

*NA, not applicable.

Main Article

Page created: December 08, 2010
Page updated: December 08, 2010
Page reviewed: December 08, 2010
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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