Possible Case of Novel Spotted Fever Group Rickettsiosis in Traveler Returning to Japan from India
Ichiro Takajo
1 , Tsuyoshi Sekizuka, Hiromi Fujita, Ayako Kawano, Takeshi Kawaguchi, Motohiro Matsuda, Kazuyoshi Kubo, Shunichi Miyauchi, Kunihiko Umekita, Yasuhiro Nagatomo, Makoto Kuroda, Tomohiko Takasaki, Akihiko Okayama, and Shuji Ando
1
Author affiliations: University of Miyazaki, Miyazaki, Japan (I. Takajo, A. Kawano, T. Kawaguchi, M. Matsuda, K. Kubo, S. Miyauchi, K. Umekita, Y. Nagatomo, A. Okayama); National Institute of Infectious Diseases, Tokyo, Japan (T. Sekizuka, M. Kuroda, T. Takasaki, S. Ando); Mahara Institute of Medical Acarology, Tokushima, Japan (H. Fujita)
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Figure 1
Figure 1. Rash and skin biopsy of a 60-year-old female traveler who had returned to Japan from India, January 2011. A) Rash on the inner side of the right thigh. B) Skin biopsy showing infiltration of inflammatory cells (mainly lymphocytes) around the capillaries, associated with hemorrhagic changes (hematoxylin-eosin staining, original magnification ×400).
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