The presence of eschars, but not greater severity, in Portuguese patients infected with Israeli spotted fever.

Rita de Sousa, Nahed Ismail, Sónia Dória-Nóbrega, Pedro Costa, Tiago Abreu, Ana França, Mário Amaro, Paula Proença, Paula Brito, José Poças, Teresa Ramos, Graça Cristina, Graça Pombo, Liliana Vitorino, Jorge Torgal, Fátima Bacellar, David Walker

Research output: Contribution to journalArticle

30 Scopus citations

Abstract

In Portugal, Mediterranean spotted fever (MSF) is caused by R. conorii Malish and Israeli spotted fever (ISF) strains. It has been suggested that the ISF strain isolated from patients with MSF causes different clinical manifestations compared to those caused by Malish strain, namely the absence of eschar and greater severity. The aim of this study was to analyze the presence or absence of eschar and of fatality in Portuguese patients infected with either Malish or ISF strain. Of 94 patients with a clinical diagnosis of MSF between 1994 to 2004, 47 were infected with Malish strain and 47 with ISF strain. Eschars were reported in 20 patients (49%) infected with Malish strain, and in 17 (39%) with ISF strain. The presence of eschar is not statistically associated to a greater extent with either R. conorii strain (P=0.346). A total of 22 patients died, 9 infected with Malish strain and 13 infected with ISF strain, and no statistically significant difference was found (P=0.330). This study showed that the concepts of absence of the eschar and greater severity in Israeli spotted fever infection should be revised.

Original languageEnglish (US)
Pages (from-to)197-202
Number of pages6
JournalAnnals of the New York Academy of Sciences
Volume1063
DOIs
StatePublished - Dec 2005
Externally publishedYes

ASJC Scopus subject areas

  • Neuroscience(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • History and Philosophy of Science

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    de Sousa, R., Ismail, N., Dória-Nóbrega, S., Costa, P., Abreu, T., França, A., Amaro, M., Proença, P., Brito, P., Poças, J., Ramos, T., Cristina, G., Pombo, G., Vitorino, L., Torgal, J., Bacellar, F., & Walker, D. (2005). The presence of eschars, but not greater severity, in Portuguese patients infected with Israeli spotted fever. Annals of the New York Academy of Sciences, 1063, 197-202. https://doi.org/10.1196/annals.1355.032