Endemic scrub typhus in South America

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dc.contributor.authorWeitzel, Thomas
dc.contributor.authorDittrich, Sabine
dc.contributor.authorLopez, Javier
dc.contributor.authorPhuklia, Weerawat
dc.contributor.authorMartinez-Valdebenito, Constanza
dc.contributor.authorVelásquez, Katia
dc.contributor.authorBlacksell, Stuart
dc.contributor.authorParis, Daniel
dc.contributor.authorAbarca, Katia
dc.date.accessioned2017-08-16T12:10:54Z
dc.date.available2017-08-16T12:10:54Z
dc.date.issued2016
dc.description.abstractScrub 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.extent8
dc.identifier.citationWeitzel T, Dittrich S, López J, Phuklia W, Martinez-Valdebenito C, Velásquez K, Blacksell SD, Paris DH, Abarca K. Endemic Scrub Typhus in South America. N Engl J Med. 2016 Sep 8;375(10):954-61.
dc.identifier.urihttp://hdl.handle.net/11447/1572
dc.identifier.urihttp://dx.doi.org/10.1056/NEJMoa1603657
dc.language.isoen_US
dc.publisherMassachusetts Medical Society
dc.sourceTravel medicine and infectious disease
dc.subjectScrub typhus
dc.subjectSouthern Chile
dc.subjectChiloé Island
dc.subjectOrientia tsutsugamushi
dc.titleEndemic scrub typhus in South America
dc.typeArtículo

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