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Title: Endemic scrub typhus in South America
Authors: Thomas Weitzel
Sabine Dittrich
Javier López
Weerawat Phuklia
Constanza Martinez-Valdebenito
Katia Velásquez
Stuart D. Blacksell
Daniel H. Paris
Katia Abarca
Universidad del Desarrollo
Pontificia Universidad Católica de Chile
Hospital de Ancud
Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU)
Nuffield Department of Clinical Medicine
Mahidol University
Keywords: Medicine
Issue Date: 8-Sep-2016
Citation: New England Journal of Medicine. Vol.375, No.10 (2016), 954-961
Abstract: Copyright © 2016 Massachusetts Medical Society. Scrub typhus is a life-threatening zoonosis caused by Orientia tsutsugamushi organisms that are transmitted by the larvae of trombiculid mites. Endemic scrub typhus was originally thought to be confined to the so called "tsutsugamushi triangle" within the Asia-Pacific region. In 2006, however, two individual cases were detected in the Middle East and South America, which suggested that the pathogen was present farther afield. Here, we report three autochthonous cases of scrub typhus caused by O. tsutsugamushi acquired on Chiloé Island in southern Chile, which suggests the existence of an endemic focus in South America.
ISSN: 15334406
Appears in Collections:Scopus 2016-2017

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