• Emerging Infect. Dis. · Sep 2011

    Case Reports

    Endemic scrub typhus-like illness, Chile.

    • M Elvira Balcells, Ricardo Rabagliati, Patricia García, Helena Poggi, David Oddó, Marcela Concha, Katia Abarca, Ju Jiang, Daryl J Kelly, Allen L Richards, and Paul A Fuerst.
    • School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
    • Emerging Infect. Dis. 2011 Sep 1; 17 (9): 1659-63.

    AbstractWe report a case of scrub typhus in a 54-year-old man who was bitten by several terrestrial leeches during a trip to Chiloé Island in southern Chile in 2006. A molecular sample, identified as related to Orientia tsutsugamushi based on the sequence of the16S rRNA gene, was obtained from a biopsy specimen of the eschar on the patient's leg. Serologic analysis showed immunoglobulin G conversion against O. tsutsugamushi whole cell antigen. This case and its associated molecular analyses suggest that an Orientia-like agent is present in the Western Hemisphere that can produce scrub typhus-like illness. The molecular analysis suggests that the infectious agent is closely related, although not identical, to members of the Orientia sp. from Asia.

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