First Cases of Spotted Fever Group Rickettsiosis in Thailand

Thira Sirisanthana Faculty of Medicine, Chiang Mai University, Armed Forces Research Institute of Medical Sciences, Naval Medical Research Institute, Chiang Mai, Thailand

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Virat Pinyopornpanit Faculty of Medicine, Chiang Mai University, Armed Forces Research Institute of Medical Sciences, Naval Medical Research Institute, Chiang Mai, Thailand

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Virat Sirisanthana Faculty of Medicine, Chiang Mai University, Armed Forces Research Institute of Medical Sciences, Naval Medical Research Institute, Chiang Mai, Thailand

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Daniel Strickman Faculty of Medicine, Chiang Mai University, Armed Forces Research Institute of Medical Sciences, Naval Medical Research Institute, Chiang Mai, Thailand

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Daryl J. Kelly Faculty of Medicine, Chiang Mai University, Armed Forces Research Institute of Medical Sciences, Naval Medical Research Institute, Chiang Mai, Thailand

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Gregory A. Dasch Faculty of Medicine, Chiang Mai University, Armed Forces Research Institute of Medical Sciences, Naval Medical Research Institute, Chiang Mai, Thailand

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DOI:
https://doi.org/10.4269/ajtmh.1994.50.682
Volume/Issue:
Volume 50: Issue 6
Page(s):
682–686
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The first three cases of spotted fever group rickettsiosis from Thailand are reported. The patients presented with fever, headache, lymphadenopathy, and petechial maculopapular rash. One patient also had an eschar and overt evidence of confusion. An indirect fluorescent antibody test, an indirect immunoperoxidase test, and an enzyme-linked immunosorbent assay demonstrated a broad, strong reactions of the sera of the patients with spotted fever group rickettsia antigens of many species, but not with antigens of typhus or scrub typhus rickettsiae. All three patients responded to treatment with a single dose of doxycycline.

Author Notes

Copyright:
Copyright © 1994 by The American Society of Tropical Medicine and Hygiene 1994
Published Online:
Jun 1994
Cover The American Journal of Tropical Medicine and Hygiene
The American Journal of Tropical Medicine and Hygiene
Print ISSN:
0002-9637
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