title: Fatal Israeli spotted fever in a UK traveler to South Portugal.
abstract: A 63-year-old previously healthy woman developed a severe systemic infection 5 days after returning from a holiday to Southern Portugal. She subsequently died, and polymerase chain reaction of a blood sample was positive for Rickettsia conorii ssp israeliensis. The prevalence of severe forms of this illness in the Mediterranean Basin is discussed.
authors.affiliation: Department of Medicine, Hinchingbrooke Hospital, Hinchingbrooke Health Care NHS Trust, Huntingdon, Cambridgeshire, UK.
authors.forename: Joshua T Y
authors.initials: JT
authors.lastname: Chai
authors.forename: Marina E
authors.initials: ME
authors.lastname: Eremeeva
authors.forename: Colin D R
authors.initials: CD
authors.lastname: Borland
authors.forename: J Andreas
authors.initials: JA
authors.lastname: Karas
mesh_terms: D000818:Animals; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001907:Boutonneuse Fever / Q000175:diagnosis* / Q000188:drug therapy; D004318:Doxycycline / Q000008:administration & dosage; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008875:Middle Aged; D011174:Portugal; D020114:Rickettsia conorii / Q000302:isolation & purification*; D014195:Travel; D006113:United Kingdom
chemical_list: D000900:Anti-Bacterial Agents; D004318:Doxycycline