Questions on Mediterranean Spotted Fever a Century after Its Discovery

Mediterranean spotted fever (MSF) was first described in 1910. Twenty years later, it was recognized as a rickettsial disease transmitted by the brown dog tick. In contrast to Rocky Mountain spotted fever (RMSF), MSF was thought to be a benign disease; however, the first severe case that resulted in...

Full description

Bibliographic Details
Main Authors: Clarisse Rovery, Philippe Brouqui, Didier Raoult
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2008-09-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/14/9/07-1133_article
_version_ 1819261675329552384
author Clarisse Rovery
Philippe Brouqui
Didier Raoult
author_facet Clarisse Rovery
Philippe Brouqui
Didier Raoult
author_sort Clarisse Rovery
collection DOAJ
description Mediterranean spotted fever (MSF) was first described in 1910. Twenty years later, it was recognized as a rickettsial disease transmitted by the brown dog tick. In contrast to Rocky Mountain spotted fever (RMSF), MSF was thought to be a benign disease; however, the first severe case that resulted in death was reported in France in the 1980s. We have noted important changes in the epidemiology of MSF in the last 10 years, with emergence and reemergence of MSF in several countries. Advanced molecular tools have allowed Rickettsia conorii conorii to be classified as a subspecies of R. conorii. New clinical features, such as multiple eschars, have been recently reported. Moreover, MSF has become more severe than RMSF; the mortality rate was as high as 32% in Portugal in 1997. Whether Rhipicephalus sanguineus is the only vector and reservoir for R. conorii conorii is a question not yet answered.
first_indexed 2024-12-23T19:45:34Z
format Article
id doaj.art-e4d0c9b59ae14f57a311124e4e61a1a1
institution Directory Open Access Journal
issn 1080-6040
1080-6059
language English
last_indexed 2024-12-23T19:45:34Z
publishDate 2008-09-01
publisher Centers for Disease Control and Prevention
record_format Article
series Emerging Infectious Diseases
spelling doaj.art-e4d0c9b59ae14f57a311124e4e61a1a12022-12-21T17:33:32ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592008-09-011491360136710.3201/eid1409.071133Questions on Mediterranean Spotted Fever a Century after Its DiscoveryClarisse RoveryPhilippe BrouquiDidier RaoultMediterranean spotted fever (MSF) was first described in 1910. Twenty years later, it was recognized as a rickettsial disease transmitted by the brown dog tick. In contrast to Rocky Mountain spotted fever (RMSF), MSF was thought to be a benign disease; however, the first severe case that resulted in death was reported in France in the 1980s. We have noted important changes in the epidemiology of MSF in the last 10 years, with emergence and reemergence of MSF in several countries. Advanced molecular tools have allowed Rickettsia conorii conorii to be classified as a subspecies of R. conorii. New clinical features, such as multiple eschars, have been recently reported. Moreover, MSF has become more severe than RMSF; the mortality rate was as high as 32% in Portugal in 1997. Whether Rhipicephalus sanguineus is the only vector and reservoir for R. conorii conorii is a question not yet answered.https://wwwnc.cdc.gov/eid/article/14/9/07-1133_articleMediterranean spotted feverRickettsia conoriisynopsis
spellingShingle Clarisse Rovery
Philippe Brouqui
Didier Raoult
Questions on Mediterranean Spotted Fever a Century after Its Discovery
Emerging Infectious Diseases
Mediterranean spotted fever
Rickettsia conorii
synopsis
title Questions on Mediterranean Spotted Fever a Century after Its Discovery
title_full Questions on Mediterranean Spotted Fever a Century after Its Discovery
title_fullStr Questions on Mediterranean Spotted Fever a Century after Its Discovery
title_full_unstemmed Questions on Mediterranean Spotted Fever a Century after Its Discovery
title_short Questions on Mediterranean Spotted Fever a Century after Its Discovery
title_sort questions on mediterranean spotted fever a century after its discovery
topic Mediterranean spotted fever
Rickettsia conorii
synopsis
url https://wwwnc.cdc.gov/eid/article/14/9/07-1133_article
work_keys_str_mv AT clarisserovery questionsonmediterraneanspottedfeveracenturyafteritsdiscovery
AT philippebrouqui questionsonmediterraneanspottedfeveracenturyafteritsdiscovery
AT didierraoult questionsonmediterraneanspottedfeveracenturyafteritsdiscovery