Publication: Endemic scrub typhus in South America
Issued Date
2016-09-08
Resource Type
ISSN
15334406
00284793
00284793
Other identifier(s)
2-s2.0-84986588542
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Mahidol University
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SCOPUS
Bibliographic Citation
New England Journal of Medicine. Vol.375, No.10 (2016), 954-961
Suggested Citation
Thomas Weitzel, Sabine Dittrich, Javier López, Weerawat Phuklia, Constanza Martinez-Valdebenito, Katia Velásquez, Stuart D. Blacksell, Daniel H. Paris, Katia Abarca Endemic scrub typhus in South America. New England Journal of Medicine. Vol.375, No.10 (2016), 954-961. doi:10.1056/NEJMoa1603657 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/41135
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Title
Endemic scrub typhus in South America
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.