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Volume 24, Number 7—July 2018

Typhus Group Rickettsiosis, Germany, 2010–20171

Jessica Rauch, Philip Eisermann, Bernd Noack, Ute Mehlhoop, Birgit Muntau, Johannes Schäfer, and Dennis TappeComments to Author 
Author affiliations: Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany (J. Rauch, P. Eisermann, B. Noack, U. Mehlhoop, B. Muntau, D. Tappe); Tropenklinik Paul-Lechler-Krankenhaus, Tübingen, Germany (J. Schäfer)

Main Article

Table 1

Characteristics of 28 patients with typhus group rickettsiosis, Germany, 2010–2017*

Patient no. Age, y/sex Year of diagnosis Travel history PCR result† Signs and symptoms Hospitalized
1 26/M 2016 Indonesia (Java), Singapore Negative Fever, exanthema, femoral lymphadenitis Yes
2 4/M 2016 The Gambia Negative Fever, myalgia, pneumonia Yes
3 27/M 2015 Indonesia (Java, Bali, Gili, Lombok) NA Fever, headache Yes
4 27/M 2015 Indonesia (Lombok, Komodo, Flores, Gili, Bali, Java) NA Fever, headache, exanthema Yes
5 76/F 2015 Canary Islands NA Fever, exanthema, dysuria Yes
6 21/F 2015 Thailand NA Fever, exanthema, genital herpes No
7 27/F 2015 Cameroon Negative Fever, headache, acute kidney injury Yes
8 26/F 2015 NA NA NA NA
9 80/F 2015 No (Germany) NA Fever, headache, arthralgia, myalgia No
10 42/M 2014 Thailand Negative Fever, exanthema Yes
11 25/F 2014 Florida NA Cough, reddened ear No
12 31/F 2014 Indonesia (Bali) Negative Fever, headache, exanthema No
13 28/M 2014 Greece R. typhi Fever, fatigue Yes
14 31/M 2014 Indonesia (Bali) NA Fever, exanthema Yes
15 72/M 2014 No (Germany) NA Pneumonia, pleural effusion Yes
16 34/F 2014 Costa Rica NA Headache No
17 57/M 2013 Cambodia R. typhi§ Fever, headache, exanthema, splenomegaly Yes
18 75/M 2013 Texas Negative Exanthema, confusion, hallucination, fatigue Yes
19 58/M 2013 Greece NA Fever, exanthema, arthralgia, fatigue Yes
20 28/F 2013 Indonesia (Bali, Gili) Negative Fever, headache, myalgia, splenomegaly, fatigue Yes
21 50/F 2012 No (Germany) NA Arthralgia No
22 23/M 2012 Burkina Faso Negative Fever, diarrhea Yes
23 21/M 2012 Namibia NA Fever, exanthema No
24 53/M 2012 Cambodia Negative Fever, headache, exanthema, arthralgia No
25 26/M 2011 Cambodia NA Fever, headache, exanthema Yes
26 47/M 2011 Indonesia (Java, Bali) Negative Fever, headache, arthralgia, splenomegaly No
27 22/M 2011 Indonesia (Bali, Lombok) Negative Fever, headache, arthralgia Yes
28 34/F 2010 Nepal R. typhi§ Fever, headache, exanthema, pneumonia Yes

*NA, not available.
Rickettsia typhi–specific and R. prowazekii–specific nested prsA quantitative PCR.
‡Nested R. typhi–specific prsA quantitative PCR from liver biopsy sample, positive; from serum sample, negative.
§Also positive ompB PCR from whole blood.

Main Article

1Part of this study was orally presented at the annual meeting of the German Society for Hygiene and Microbiology, February 19–21, 2018, Bochum, Germany.

Page created: June 18, 2018
Page updated: June 18, 2018
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