Abstract
We report a case of Rickettsia japonica infection in an 81-year-old man in central Japan. The patient had fever, rash, and an eschar but no evidence of a tick bite. His symptoms began 8 days after a land leech bite. The land leech is a potential vector of R. japonica.
Keywords:
Japan; Japanese spotted fever; Orientia tsutsugamushi; Rickettsia; Rickettsia japonica; bacteria; leech; scrub typhus; zoonoses.
Publication types
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Case Reports
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Letter
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Research Support, Non-U.S. Gov't
MeSH terms
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Aged, 80 and over
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Animals
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Biomarkers
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Bites and Stings*
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Exanthema
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Fluorescent Antibody Technique
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Humans
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Japan
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Leeches / microbiology*
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Male
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Polymerase Chain Reaction
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Rickettsia Infections / diagnosis*
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Rickettsia Infections / epidemiology
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Rickettsia Infections / microbiology
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Rickettsia Infections / transmission*
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Rickettsia* / classification
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Rickettsia* / genetics
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Rickettsia* / immunology
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Rickettsia* / isolation & purification
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Symptom Assessment