Martin-del-Campo LA, Asencio-Magdaleno A, Partida-Moreno P, Ramos-Rodríguez HJ

Language: Spanish
References: 13
Page: 183-185
PDF size: 187.92 Kb.

ABSTRACT

Rocky Mountain Spotted Fever is a common tickborne disease in the United States, and has also been reported in other countries in America. We present the case of a woman without recent travel history, who was diagnosed with R. rickettsii infection in Guadalajara Mexico, a geographical area where there had not been a previous report of the disease. Emphasis is made on the clinical challenge that the diagnosis represents in areas were rickettsiosis is not common problem. This report could show that the disease may be spreading to new areas, or that the condition is already there, but it is underdiagnosed due to the low suspicion of the disease and poor access to diagnosis tests. We also comment on the potential role of the widespread use of antibiotics before determination of the responsible microbial agent in our area.

REFERENCES

1. Masters EJ, Olson GS, Weiner SJ, Paddock CD. Rocky Mountain spotted fever: a clinician's dilemma. Arch Intern Med 2003;163(7):769-774.

2. Martinez-Medina MA, Alvarez-Hernandez G, Padilla-Zamudioa JG, Rojas-Guerra MG. Rocky Mountain spotted fever in children: clinical and epidemiological features. Gac Med Mex 2007; 143(2):137-140.

3. Zavala-Castro JE, Zavala-Velazquez JE, Walker DH, et al. Fatal human infection with Rickettsia rickettsii, Yucatan, Mexico. Emerg Infect Dis 2006;12(4):672-674.

4. Walker DH, Fishbein DB. Epidemiology of rickettsial diseases. Eur J Epidemiol 1991;7(3):237-245.

5. Dantas-Torres F. Rocky Mountain spotted fever. Lancet Infect Dis 2007;7(11):724-732.

6. Bustamante ME VG. Studies on spotted fever in Mexico: the role of Rhipicephalus sanguineus in the transmission of spotted fever in the Mexican republic. Rev Inst Salubr Enferm Trop 1947; 8:139-141.

7. Salgo MP, Telzak EE, Currie B, et al. A focus of Rocky Mountain spotted fever within New York City. N Engl J Med 1988;318(21):1345-1348.

8. Burgdorfer W, Newhouse VF, Pickens EG, Lackman DB. Ecology of rocky mountain spotted fever in Western Montana. I. Isolation of Rickettsia rickettsii from wild mammals. Am J Hyg 1962;76:293-301.

9. Demma LJ, Traeger MS, Nicholson WL, et al. Rocky Mountain spotted fever from an unexpected tick vector in Arizona. N Engl J Med 2005;353(6):587-594.

10. Thorner AR, Walker DH, Petri WA. Rocky mountain spotted fever. Clin Infect Dis 1998; 27(6):1353-1359.

11. Singh-Behl D, La Rosa SP, Tomecki KJ. Tick-borne infections. Dermatol Clin 2003; 21(2):237-244.

12. Rocky Mountain Spotted Fever (RMSF) (Rickettsia rickettsii) 2008 Case Definition. Centers for Disease Control and Prevention, 2008.

13. Norma Oficial Mexicana NOM-EM001 SSA 2-1999, de emergencia para la vigilancia, prevención y transmisión de enfermedades transmisibles por vector. Secretaría de Salud, 1999.