Skip to main content

Vexing Vectors

  • Chapter
  • First Online:
The Infectious Disease Diagnosis

Abstract

A 50-year-old woman presented to the Urgent Care Clinic with myalgias, lymphadenopathy, and rash 3 days after returning from a trip to the KwaZulu-Natal province of South Africa. There she had worked as a volunteer healthcare provider, participating in home visits to patients with human immunodeficiency virus infection and tuberculosis. One month prior to departure, she visited a travel clinic and received hepatitis A, hepatitis B, and typhoid fever vaccines. She received a prescription for atovaquone/proguanil (Malarone) for malaria prophylaxis and was counseled on insect precautions.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

References

  1. McQuiston J. Rickettsial (spotted & typhus fevers) & related infections (anaplasmosis & ehrlichiosis). Centers for Disease Control and Prevention. CDC Health Information for International Travel 2016. New York: Oxford University Press; 2016.

    Google Scholar 

  2. Fournier PE, Jensenius M, Laferl H, Vene S, Raoult D. Kinetics of antibody responses in Rickettsia africae and Rickettsia conorii infections. Clin Diagn Lab Immunol. 2002;9(2):324–8.

    CAS  PubMed  PubMed Central  Google Scholar 

  3. Frean J, Blumberg L, Ogunbanjo GA. Tick bite fever in South Africa. S Afr Fam Pract. 2008;50(2):33–5.

    Article  Google Scholar 

  4. Jensenius M, Fournier PE, Vene S, Hoel T, Hasle G, Henriksen AZ. African tick bite fever in travelers to rural sub-equatorial Africa. Clin Infect Dis. 2003;36(11):1411–7.

    Article  PubMed  Google Scholar 

  5. Jensenius M, Davis X, von Sonnenburg F, Schwartz E, Keystone J, Leder K, et al. Multicenter geosentinel analysis of rickettsial diseases in international travelers, 1996–2008. Emerg Infect Dis. 2009;15(11):1791–8.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Raoult D, Fournier PE, Fenollar F, Jensenius M, Prioe T, Pina JJ, et al. Rickettsia africae, a tick-borne pathogen in travelers to Sub-Saharan Africa. N Engl J Med. 2001;344:1504–151.

    Article  CAS  PubMed  Google Scholar 

  7. Maina AN, Jiang J, Omulo SA, et al. High prevalence of Rickettsia africae variants in Amblyomma variegatum ticks from domestic mammals in rural Western Kenya: implications for human health. Vector Borne Zoonotic Dis. 2014;14(10):693–702.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Shirley Stephenson R.N., F.N.P.-B.C. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Cite this chapter

Stephenson, S. (2018). Vexing Vectors. In: David, M., Benoit, JL. (eds) The Infectious Disease Diagnosis. Springer, Cham. https://doi.org/10.1007/978-3-319-64906-1_19

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-64906-1_19

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-64905-4

  • Online ISBN: 978-3-319-64906-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics