Imported scrub typhus: first case in South America and review of the literature

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dc.contributor.authorWeitzel, Thomas
dc.contributor.authorAylwin, Mabel
dc.contributor.authorMartínez-Valdebenito, Constanza
dc.contributor.authorJiang, Ju
dc.contributor.authorMunita, José
dc.contributor.authorThompson, Luis
dc.contributor.authorAbarca, Katia
dc.contributor.authorRichards, Allen L.
dc.date.accessioned2022-05-30T17:30:38Z
dc.date.available2022-05-30T17:30:38Z
dc.date.issued2018
dc.description.abstractBackground Scrub typhus is a neglected vector-borne zoonosis causing life-threatening illnesses, endemic in the Asian-Pacific region and, as recently discovered, in southern Chile. Scrub typhus is rarely reported in travelers, most probably due to the lack of clinical experience and diagnostic tests in non-endemic countries. We report the first case of imported scrub typhus in South America. Case presentation A 62-year-old tourist from South Korea presented severely ill with fever, rash, and eschar in Santiago, Chile. Laboratory exams showed thrombocytopenia and elevated inflammation parameters, hepatic enzymes, and LDH. With the clinical suspicion of scrub typhus, empirical treatment with doxycycline was initiated and the patient recovered rapidly and without complications. The diagnosis was confirmed by IgM serology and by real-time PCR, which demonstrated infection with Orientia tsutsugamushi (Kawasaki clade). Conclusions Only due to the emerging clinical experience with endemic South American scrub typhus and the recent implementation of appropriate diagnostic techniques in Chile, were we able to firstly identify and adequately manage a severe case of imported scrub typhus in South America. Physicians attending febrile travelers need to be aware of this rickettsiosis, since it requires prompt treatment with doxycycline to avoid complications.es
dc.description.versionVersión Publicadaes
dc.identifier.citationWeitzel, T., Aylwin, M., Martínez-Valdebenito, C., Jiang, J., Munita, J. M., Thompson, L., Abarca, K., & Richards, A. L. (2018). Imported scrub typhus: first case in South America and review of the literature. Tropical diseases, travel medicine and vaccines, 4, 10. https://doi.org/10.1186/s40794-018-0070-8es
dc.identifier.urihttps://doi.org/10.1186/s40794-018-0070-8es
dc.identifier.urihttp://hdl.handle.net/11447/6158
dc.language.isoenes
dc.relation.projectThis work was partially supported by the Fondo Nacional de Desarrollo Científico y Tecnológico (FONDECYT N° 1170810) and the Global Emerging Infectious Diseases Section, work unit # A1402.es
dc.subjectArthropod-borne diseaseses
dc.subjectScrub typhuses
dc.subjectOrientia tsutsugamushies
dc.subjectTraveles
dc.subjectImported infectiones
dc.titleImported scrub typhus: first case in South America and review of the literaturees
dc.typeArticlees
dcterms.sourceTropical diseases, travel medicine and vaccineses

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