Skip to main content
Top
Published in: Journal of Medical Case Reports 1/2008

Open Access 01-12-2008 | Case report

A case of spotted fever group rickettsiosis imported into the United Kingdom and treated with ciprofloxacin: a case report

Authors: Rifat Rashid, Alessandro C Pasqualotto, David W Denning

Published in: Journal of Medical Case Reports | Issue 1/2008

Login to get access

Abstract

Introduction

Spotted fever group rickettsioses are an interesting group of infections, which are increasing in incidence worldwide.

Case presentation

Here we describe an imported case to the United Kingdom occurring in a patient who had recently visited Kruger National Park in South Africa – a highly endemic area for Rickettsia infections. Initial treatment with doxycycline failed but the patient made a prompt recovery after commencement of ciprofloxacin.

Conclusion

This finding raises the possibility that there are resistant strains of Rickettsia present.
Appendix
Available only for authorised users
Literature
1.
go back to reference Jensenius M, Fournier PE, Raoult D: Rickettsioses and the international traveller. Clin Infect Dis. 2004, 39: 1493-1499. 10.1086/425365.CrossRefPubMed Jensenius M, Fournier PE, Raoult D: Rickettsioses and the international traveller. Clin Infect Dis. 2004, 39: 1493-1499. 10.1086/425365.CrossRefPubMed
2.
go back to reference Jensenius M, Fournier PE, Kelly P, Myrvang B, Raoult D: African tick bite fever. Lancet Infect Dis. 2003, 3: 557-564. 10.1016/S1473-3099(03)00739-4.CrossRefPubMed Jensenius M, Fournier PE, Kelly P, Myrvang B, Raoult D: African tick bite fever. Lancet Infect Dis. 2003, 3: 557-564. 10.1016/S1473-3099(03)00739-4.CrossRefPubMed
3.
go back to reference Jensenius M, Fournier PE, Vene S, Hoel T, Hasle G, Henriksen AZ, Hellum KB, Raoult D, Myrvang B: African tick bite fever in travelers to rural sub-Equatorial Africa. Clin Infect Dis. 2003, 36: 1411-1417. 10.1086/375083.CrossRefPubMed Jensenius M, Fournier PE, Vene S, Hoel T, Hasle G, Henriksen AZ, Hellum KB, Raoult D, Myrvang B: African tick bite fever in travelers to rural sub-Equatorial Africa. Clin Infect Dis. 2003, 36: 1411-1417. 10.1086/375083.CrossRefPubMed
4.
go back to reference Parola P, Jourdan J, Raoult D: Tick-borne infection caused by Rickettsia africae in the West Indies. N Engl J Med. 1998, 338: 1391-10.1056/NEJM199805073381918.CrossRefPubMed Parola P, Jourdan J, Raoult D: Tick-borne infection caused by Rickettsia africae in the West Indies. N Engl J Med. 1998, 338: 1391-10.1056/NEJM199805073381918.CrossRefPubMed
5.
go back to reference Jackson Y, Chappuis F, Loutan L: African tick-bite fever: four cases among Swiss travellers returning from South Africa. J Travel Med. 2004, 11: 225-228.CrossRefPubMed Jackson Y, Chappuis F, Loutan L: African tick-bite fever: four cases among Swiss travellers returning from South Africa. J Travel Med. 2004, 11: 225-228.CrossRefPubMed
6.
go back to reference Bellini C, Monti M, Potin M, Dalle Ave A, Bille J, Greub G: Cardiac involvement in a patient with clinical and serological evidence of African tick-bite fever. BMC Infect Dis. 2005, 5: 90-10.1186/1471-2334-5-90.CrossRefPubMedPubMedCentral Bellini C, Monti M, Potin M, Dalle Ave A, Bille J, Greub G: Cardiac involvement in a patient with clinical and serological evidence of African tick-bite fever. BMC Infect Dis. 2005, 5: 90-10.1186/1471-2334-5-90.CrossRefPubMedPubMedCentral
7.
go back to reference Sexton DJ, Corey GR, Greenfield JC, Burton CS, Raoult D: Imported African tick bite fever: a case report. Am J Trop Med Hyg. 1999, 60: 865-867.PubMed Sexton DJ, Corey GR, Greenfield JC, Burton CS, Raoult D: Imported African tick bite fever: a case report. Am J Trop Med Hyg. 1999, 60: 865-867.PubMed
8.
go back to reference Caruso G, Zasio C, Guzzo F, Granata C, Mondardini V, Guerra E, Macrì E, Benedetti P: Outbreak of African tick-bite fever in six Italian tourists returning from South Africa. Eur J Clin Microbiol Infect Dis. 2002, 21: 133-136. 10.1007/s10096-001-0663-3.CrossRefPubMed Caruso G, Zasio C, Guzzo F, Granata C, Mondardini V, Guerra E, Macrì E, Benedetti P: Outbreak of African tick-bite fever in six Italian tourists returning from South Africa. Eur J Clin Microbiol Infect Dis. 2002, 21: 133-136. 10.1007/s10096-001-0663-3.CrossRefPubMed
9.
go back to reference Rolain JM, Maurin M, Vestris G, Raoult D: In vitro susceptibilities of 27 rickettsiae to 13 antimicrobials. Antimicrob Agents Chemother. 1998, 42: 1537-1541.PubMedPubMedCentral Rolain JM, Maurin M, Vestris G, Raoult D: In vitro susceptibilities of 27 rickettsiae to 13 antimicrobials. Antimicrob Agents Chemother. 1998, 42: 1537-1541.PubMedPubMedCentral
Metadata
Title
A case of spotted fever group rickettsiosis imported into the United Kingdom and treated with ciprofloxacin: a case report
Authors
Rifat Rashid
Alessandro C Pasqualotto
David W Denning
Publication date
01-12-2008
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2008
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-2-98

Other articles of this Issue 1/2008

Journal of Medical Case Reports 1/2008 Go to the issue