Israeli spotted fever Rickettsia (Rickettsia conorii Complex) associated with human disease in Portugal.(Brief Article)

Emerging Infectious Diseases | November 1, 1999| | Copyright

To the Editor: Mediterranean spotted fever is endemic in Portugal, where it is a reportable disease with approximately 1,000 new cases per year (1). Rickettsia conorii has been thought to be the only pathogenic rickettsia of the spotted fever group in Portugal (2), as well as in the Western Mediterranean area. Another rickettsia in this group, the Israeli spotted fever rickettsia, which belongs to the R. conorii complex (3-5), was isolated in 1974 from ticks and humans; however, its distribution appeared to be restricted to Israel (6). We report three cases of rickettsiosis in ...

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