Case Report: Scrub Typhus and Q Fever Coinfection

Am J Trop Med Hyg. 2019 May;100(5):1130-1133. doi: 10.4269/ajtmh.18-0092.

Abstract

A 56-year-old female goat herder had scrub typhus that persisted after receiving doxycycline for 5 days. Her symptoms continued, prompting us to perform further examinations that revealed coinfection of Q fever and scrub typhus via molecular and serological testing. We also isolated Orientia tsutsugamushi using BALB/c mice and L929 cells.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Coinfection / blood
  • Coinfection / diagnosis*
  • Coinfection / microbiology*
  • Coxiella burnetii
  • Doxycycline / therapeutic use*
  • Female
  • Humans
  • Mice
  • Mice, Inbred BALB C
  • Middle Aged
  • Orientia tsutsugamushi / isolation & purification
  • Q Fever / diagnosis
  • Q Fever / drug therapy*
  • Scrub Typhus / blood
  • Scrub Typhus / diagnosis*
  • Spleen / microbiology
  • Splenomegaly / microbiology

Substances

  • Doxycycline