title: Fatal Rickettsia conorii subsp. israelensis infection, Israel.
abstract: Underdiagnosis of fatal spotted fever may be attributed to nonspecific clinical features and insensitive acute-phase serologic studies. We describe the importance of molecular and immunohistochemical methods in establishing the postmortem diagnosis of locally acquired Israeli spotted fever due to Rickettsia conorii subsp. israelensis in a traveler returning to Israel from India.
authors.affiliation: Infectious Diseases Unit, Assaf Harofeh Medical Center, Zerifin 70300, Israel. miriw@netvision.net.il
authors.forename: Miriam
authors.initials: M
authors.lastname: Weinberger
authors.forename: Avi
authors.initials: A
authors.lastname: Keysary
authors.forename: Judith
authors.initials: J
authors.lastname: Sandbank
authors.forename: Ronit
authors.initials: R
authors.lastname: Zaidenstein
authors.forename: Avi
authors.initials: A
authors.lastname: Itzhaki
authors.forename: Carmela
authors.initials: C
authors.lastname: Strenger
authors.forename: Moshe
authors.initials: M
authors.lastname: Leitner
authors.forename: Christopher D
authors.initials: CD
authors.lastname: Paddock
authors.forename: Marina E
authors.initials: ME
authors.lastname: Eremeeva
mesh_terms: D001344:Autopsy; D001907:Boutonneuse Fever / Q000175:diagnosis* / Q000188:drug therapy; D017809:Fatal Outcome; D006801:Humans; D007194:India; D007557:Israel / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D008969:Molecular Sequence Data; D020114:Rickettsia conorii / Q000145:classification / Q000235:genetics / Q000302:isolation & purification*; D017422:Sequence Analysis, DNA; D014195:Travel