A case of Rickettsia sibirica subspecies sibirica BJ-90 infection in China was identified by metagenomic analysis of an eschar biopsy specimen and confirmed by nested PCR. Seroprevalence of spotted fever group Rickettsia was ≈17.4% among the local population. This report highlights the threat of rickettsioses to public health in the Qinghai-Tibet Plateau.
Keywords: China; Qinghai–Tibet Plateau; Rickettsia sibirica subsp. sibirica BJ-90; Rickettsiosis; bacteria; metagenomic sequencing; tickborne diseases; vector-borne infections.