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Endemic scrub typhus in South America.

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dc.contributor.author Weitzel, Thomas
dc.contributor.author Dittrich, Sabine
dc.contributor.author Lopez, Javier
dc.contributor.author Phuklia, Weerawat
dc.contributor.author Martinez-Valdebenito, Constanza
dc.contributor.author Velásquez, Katia
dc.contributor.author Blacksell, Stuart
dc.contributor.author Paris, Daniel
dc.contributor.author Abarca, Katia
dc.date.accessioned 2017-08-16T12:10:54Z
dc.date.available 2017-08-16T12:10:54Z
dc.date.issued 2016
dc.identifier.citation N Engl J Med 2016; 375:954-961
dc.identifier.uri http://hdl.handle.net/11447/1572
dc.identifier.uri http://dx.doi.org/10.1056/NEJMoa1603657
dc.description.abstract Scrub typhus is a life-threatening zoonosis caused by Orientia tsutsugamushi organisms that are transmitted by the larvae of trombiculid mites. Endemic scrub typhus was originally thought to be confined to the so called “tsutsugamushi triangle” within the Asia–Pacific region. In 2006, however, two individual cases were detected in the Middle East and South America, which suggested that the pathogen was present farther afield. Here, we report three autochthonous cases of scrub typhus caused by O. tsutsugamushi acquired on Chiloé Island in southern Chile, which suggests the existence of an endemic focus in South America.
dc.format.extent 8
dc.language.iso en_US
dc.publisher Massachusetts Medical Society
dc.subject Scrub typhus
dc.subject Southern Chile
dc.subject Chiloé Island
dc.subject Orientia tsutsugamushi
dc.title Endemic scrub typhus in South America.
dc.type Artículo


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