Rickettsia sibirica infection in members of scientific expeditions to northern Asia

The risk of acquiring North Asian tick typhus (infection by Rickettsia sibirica) during travel to regions of Asia where this disease is endemic is unknown. We investigated prospectively 13 paleontologists on expedition to Mongolia. Four paleontologists had acute illness characterised by fever, rash,...

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Veröffentlicht in:The Lancet (British edition) 2003-10, Vol.362 (9391), p.1201-1202
Hauptverfasser: Lewin, Matthew R, Bouyer, Donald H, Walker, David H, Musher, Daniel M
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container_title The Lancet (British edition)
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creator Lewin, Matthew R
Bouyer, Donald H
Walker, David H
Musher, Daniel M
description The risk of acquiring North Asian tick typhus (infection by Rickettsia sibirica) during travel to regions of Asia where this disease is endemic is unknown. We investigated prospectively 13 paleontologists on expedition to Mongolia. Four paleontologists had acute illness characterised by fever, rash, headache, and lymphadenopathy. All had IgM and IgG antibodies to R sibirica. Paleontologists with no illness and people who went on expeditions in other parts of the world did not have antibodies to R sibirica. Only two of the four infected persons were aware of tick bites. Travellers to regions endemic for R sibirica are at risk of contracting North Asian tick typhus even in the absence of recognised tick-bites.
doi_str_mv 10.1016/S0140-6736(03)14515-1
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subjects Aldehyde Oxidoreductases
Antibodies
Arachnids
Asia
Bacterial diseases
Biological and medical sciences
Diaries
Diarrhea
Expeditions
Fever
Headache
Health risk assessment
Human bacterial diseases
Humans
Illnesses
Immunoglobulin G
Immunoglobulin M
Immunoglobulins
Infections
Infectious diseases
Insect bites
Lymphadenopathy
Medical sciences
Mongolia
North Asian tick typhus
Paleontology
Parasites
Pathology
Questionnaires
Rickettsia - classification
Rickettsia - genetics
Rickettsia - immunology
Rickettsia Infections - diagnosis
Rickettsia Infections - epidemiology
Rickettsia Infections - immunology
Rickettsia sibirica
Rickettsial diseases
Serologic Tests
Tick-Borne Diseases - diagnosis
Tick-Borne Diseases - epidemiology
Tick-Borne Diseases - immunology
Travellers
Tropical bacterial diseases
Tropical medicine
Typhoid
Typhus
Vomiting
title Rickettsia sibirica infection in members of scientific expeditions to northern Asia
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