Abstract
Rickettsia felis is an emerging spotted fever group pathogen that may be responsible for potentially life-threatening infections. A cosmopolitan distribution has been postulated though most human cases were observed in Africa and the Americas. We report an imported case from Nepal that occurred in an Italian tourist who presented with a 1-week history of fever, headache, nausea, vomiting, and a mild maculopapular rash 14 days after return.
© 2015 International Society of Travel Medicine.
MeSH terms
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Animals
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Anti-Bacterial Agents / administration & dosage
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Ceftriaxone / administration & dosage*
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Doxycycline / administration & dosage*
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Female
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Humans
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Immunologic Tests / methods
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Italy / epidemiology
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Middle Aged
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Nepal / epidemiology
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Rickettsia Infections* / blood
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Rickettsia Infections* / diagnosis
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Rickettsia Infections* / drug therapy
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Rickettsia Infections* / etiology
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Rickettsia Infections* / physiopathology
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Rickettsia felis* / isolation & purification
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Rickettsia felis* / pathogenicity
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Serologic Tests / methods
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Siphonaptera*
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Travel*
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Treatment Outcome
Substances
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Anti-Bacterial Agents
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Ceftriaxone
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Doxycycline