A Case of Rickettsia felis Infection Imported From Nepal

J Travel Med. 2015 Jul-Aug;22(4):276-8. doi: 10.1111/jtm.12207. Epub 2015 Apr 17.

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.

Publication types

  • Case Reports

MeSH terms

  • Animals
  • Anti-Bacterial Agents / administration & dosage
  • Ceftriaxone / administration & dosage*
  • Doxycycline / administration & dosage*
  • Female
  • Humans
  • Immunologic Tests / methods
  • Italy / epidemiology
  • Middle Aged
  • Nepal / epidemiology
  • Rickettsia Infections* / blood
  • Rickettsia Infections* / diagnosis
  • Rickettsia Infections* / drug therapy
  • Rickettsia Infections* / etiology
  • Rickettsia Infections* / physiopathology
  • Rickettsia felis* / isolation & purification
  • Rickettsia felis* / pathogenicity
  • Serologic Tests / methods
  • Siphonaptera*
  • Travel*
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents
  • Ceftriaxone
  • Doxycycline