title: A Case of Rickettsia felis Infection Imported From Nepal.
abstract: Rickettsia felis is an emerging spotted fever group pathogen that may be responsible for potentially life-threatening infections. A cosmopolitan distribution has been postulated though most human cases were observed in Africa and the Americas. We report an imported case from Nepal that occurred in an Italian tourist who presented with a 1-week history of fever, headache, nausea, vomiting, and a mild maculopapular rash 14 days after return.
authors.affiliation: University Division of Infectious and Tropical Diseases, University of Brescia, Brescia, Italy.
authors.forename: Giorgia
authors.initials: G
authors.lastname: Sulis
authors.affiliation: University Division of Infectious and Tropical Diseases, University of Brescia, Brescia, Italy.
authors.forename: Paola
authors.initials: P
authors.lastname: Rodari
authors.affiliation: Unit of Tropical Diseases, Spedali Civili General Hospital, Brescia, Italy.
authors.forename: Silvio
authors.initials: S
authors.lastname: Caligaris
authors.affiliation: Unit of Tropical Diseases, Spedali Civili General Hospital, Brescia, Italy.
authors.forename: Lina R
authors.initials: LR
authors.lastname: Tomasoni
authors.affiliation: University Division of Infectious and Tropical Diseases, University of Brescia, Brescia, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Castelli
authors.affiliation: Unit of Tropical Diseases, Spedali Civili General Hospital, Brescia, Italy.
authors.forename: Maurizio
authors.initials: M
authors.lastname: Gulletta
mesh_terms: D000818:Animals; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002443:Ceftriaxone / Q000008:administration & dosage*; D004318:Doxycycline / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D007159:Immunologic Tests / Q000379:methods; D007558:Italy / Q000453:epidemiology; D008875:Middle Aged; D009390:Nepal / Q000453:epidemiology; D012282:Rickettsia Infections / Q000097:blood / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology; D041161:Rickettsia felis / Q000302:isolation & purification / Q000472:pathogenicity; D012698:Serologic Tests / Q000379:methods; D005423:Siphonaptera; D014195:Travel; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D002443:Ceftriaxone; D004318:Doxycycline