Survey of Three Bacterial Louse-Associated Diseases Among Rural Andean Communities in Peru: Prevalence of Epidemic Typhus, Trench Fever, and Relapsing Fever

Typhus and other louse-transmitted bacterial infections in Peruvian sierra communities are known to occur but have not recently been assessed. In this study, 194 of 1,280 inhabitants of four villages in Calca Province in the Urubamba Valley were included. Thirty-nine (20%) of the 194 volunteers had...

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Veröffentlicht in:Clinical infectious diseases 1999-08, Vol.29 (2), p.434-436
Hauptverfasser: Raoult, Didier, Birtles, Richard J., Montoya, Manuel, Perez, Enrique, Tissot-Dupont, Herve, Roux, Véronique, Guerra, Humberto
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container_end_page 436
container_issue 2
container_start_page 434
container_title Clinical infectious diseases
container_volume 29
creator Raoult, Didier
Birtles, Richard J.
Montoya, Manuel
Perez, Enrique
Tissot-Dupont, Herve
Roux, Véronique
Guerra, Humberto
description Typhus and other louse-transmitted bacterial infections in Peruvian sierra communities are known to occur but have not recently been assessed. In this study, 194 of 1,280 inhabitants of four villages in Calca Province in the Urubamba Valley were included. Thirty-nine (20%) of the 194 volunteers had antibodies to Rickettsia prowazekii, whereas 24 (12%) had antibodies to Bartonella quintana and 2 against Borrelia recurrentis. There was a significant correlation between the presence of infesting ectoparasites and antibodies to R. prowazekii, as well as between antibodies to R. prowazekii and ectoparasite infestation and fever in the previous 6 months. The proportion of inhabitants infested with ectoparasites was significantly higher in the highest-altitude village than in the other three villages. Two volunteers' antibody levels suggested a recent typhus infection, but only B. quintana DNA was amplified from lice. Epidemic typhus remains extant in the area, and B. quintana infections were encountered and documented for the first time in South America.
doi_str_mv 10.1086/520229
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Epidemic typhus remains extant in the area, and B. quintana infections were encountered and documented for the first time in South America.</abstract><cop>Chicago, IL</cop><pub>The University of Chicago Press</pub><pmid>10476755</pmid><doi>10.1086/520229</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Animals
Antibodies
Antibodies, Bacterial - blood
Bacterial diseases
Bartonellosis
Biological and medical sciences
Borrelia Infections - blood
Borrelia Infections - epidemiology
Borrelia Infections - immunology
Borrelia Infections - microbiology
Ectoparasites
Epidemic louse borne typhus
Epidemics
Female
Fever
Human bacterial diseases
Humans
Infections
Infectious diseases
Infestation
Insect Vectors
Male
Medical sciences
Peru - epidemiology
Phthiraptera - microbiology
Population Surveillance
Prevalence
Relapsing Fever - blood
Relapsing Fever - epidemiology
Relapsing Fever - immunology
Relapsing Fever - microbiology
Trench fever
Trench Fever - blood
Trench Fever - epidemiology
Trench Fever - immunology
Trench Fever - microbiology
Tropical bacterial diseases
Tropical medicine
Typhus
Typhus, Epidemic Louse-Borne - blood
Typhus, Epidemic Louse-Borne - epidemiology
Typhus, Epidemic Louse-Borne - immunology
Typhus, Epidemic Louse-Borne - microbiology
Volunteerism
title Survey of Three Bacterial Louse-Associated Diseases Among Rural Andean Communities in Peru: Prevalence of Epidemic Typhus, Trench Fever, and Relapsing Fever
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