Two Cases of Israeli Spotted Fever with Purpura Fulminans, Sharon District, Israel

We report a series of 5 case-patients who had Israeli spotted fever, of whom 2 had purpura fulminans and died. Four case-patients were given a diagnosis on the basis of PCR of skin biopsy specimens 3–4 days after treatment with doxycycline; 1 case-patient was given a diagnosis on the basis of seroco...

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Main Authors: Regev Cohen, Frida Babushkin, Maurice Shapiro, Martina Uda, Yafit Atiya-Nasagi, Dar Klein, Talya Finn
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2018-05-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/24/5/17-1992_article
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author Regev Cohen
Frida Babushkin
Maurice Shapiro
Martina Uda
Yafit Atiya-Nasagi
Dar Klein
Talya Finn
author_facet Regev Cohen
Frida Babushkin
Maurice Shapiro
Martina Uda
Yafit Atiya-Nasagi
Dar Klein
Talya Finn
author_sort Regev Cohen
collection DOAJ
description We report a series of 5 case-patients who had Israeli spotted fever, of whom 2 had purpura fulminans and died. Four case-patients were given a diagnosis on the basis of PCR of skin biopsy specimens 3–4 days after treatment with doxycycline; 1 case-patient was given a diagnosis on the basis of seroconversion. Rickettsia spp. from the 2 case-patients who died were sequenced and identified as Rickettsia conorii subsp. israelensis. Purpura fulminans has been described in association with R. rickettsii and R. indica, but rarely with R. conorii subsp. israelensis.
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spelling doaj.art-d95b5eb8ab384a15beb7b05267f33cb42022-12-21T17:43:42ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592018-05-0124583584010.3201/eid2405.171992Two Cases of Israeli Spotted Fever with Purpura Fulminans, Sharon District, IsraelRegev CohenFrida BabushkinMaurice ShapiroMartina UdaYafit Atiya-NasagiDar KleinTalya FinnWe report a series of 5 case-patients who had Israeli spotted fever, of whom 2 had purpura fulminans and died. Four case-patients were given a diagnosis on the basis of PCR of skin biopsy specimens 3–4 days after treatment with doxycycline; 1 case-patient was given a diagnosis on the basis of seroconversion. Rickettsia spp. from the 2 case-patients who died were sequenced and identified as Rickettsia conorii subsp. israelensis. Purpura fulminans has been described in association with R. rickettsii and R. indica, but rarely with R. conorii subsp. israelensis.https://wwwnc.cdc.gov/eid/article/24/5/17-1992_articleIsraeli spotting feverRickettsia conorii subsp. israelensisrickettsiacase seriespurpura fulminansSharon District
spellingShingle Regev Cohen
Frida Babushkin
Maurice Shapiro
Martina Uda
Yafit Atiya-Nasagi
Dar Klein
Talya Finn
Two Cases of Israeli Spotted Fever with Purpura Fulminans, Sharon District, Israel
Emerging Infectious Diseases
Israeli spotting fever
Rickettsia conorii subsp. israelensis
rickettsia
case series
purpura fulminans
Sharon District
title Two Cases of Israeli Spotted Fever with Purpura Fulminans, Sharon District, Israel
title_full Two Cases of Israeli Spotted Fever with Purpura Fulminans, Sharon District, Israel
title_fullStr Two Cases of Israeli Spotted Fever with Purpura Fulminans, Sharon District, Israel
title_full_unstemmed Two Cases of Israeli Spotted Fever with Purpura Fulminans, Sharon District, Israel
title_short Two Cases of Israeli Spotted Fever with Purpura Fulminans, Sharon District, Israel
title_sort two cases of israeli spotted fever with purpura fulminans sharon district israel
topic Israeli spotting fever
Rickettsia conorii subsp. israelensis
rickettsia
case series
purpura fulminans
Sharon District
url https://wwwnc.cdc.gov/eid/article/24/5/17-1992_article
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