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måndag 15 maj 2023

Uusinta artikkelia Rocky Mountain Spotted Fever (RMSP) ja Boutonneuse Fever (BF) .Punkkivälitteiset, rikketsioiden aiheuttamat kuumeet

2022   Brown dog tick, Rhipicephalus sensu lato , R. sanhuineus  Kennelfästing  https://www.sva.se/amnesomraden/djursjukdomar-a-o/kennelfasting-brun-hundfasting-hos-hund/

LINEAGE: Brown dog tick

Lineage( full )
cellular organisms; Eukaryota; Opisthokonta; Metazoa; Eumetazoa; Bilateria; Protostomia; Ecdysozoa; Panarthropoda; Arthropoda; Chelicerata; Arachnida; Acari; Parasitiformes; Ixodida; Ixodoidea; Ixodidae; Rhipicephalinae; Rhipicephalus; Rhipicephalus; Rhipicephalus sanguineus group 
Redlegged tick,  Rhipicephalus evertsi- Neuman 1897

Tämä koirapunkkilaatu teettää ongelmiä sikäli, että   siihen ei tehoa tavallinen rokote, joka sisältää tapettuja R. rickettsii lajeja.   Lisäksi punkki toimii sekä vektorina että reservoaarina ja sen elinsykli on täten  pinttynyt,  monisukupolvinen.  .

A Vaccine for Canine Rocky Mountain Spotted Fever: An Unmet One Health Need.
Walker DH, Blanton LS, Laroche M, Fang R, Narra HP. Vaccines (Basel). 2022 Sep 28;10(10):1626. doi: 10.3390/vaccines10101626. PMID: 36298491 Free PMC article. Review.
Outbreaks of life-threatening Rocky Mountain spotted fever in humans and dogs associated with a canine-tick maintenance cycle constitute an important One Health opportunity. The reality of the problem has been observed strikingly in Mexico, Brazil, Colombia, and Native American tribal lands in Arizona. The brown dog tick, Rhipicephalus sanguineus sensu lato, acquires the rickettsia from bacteremic dogs and can maintain the bacterium transtadially to the next tick stage. The subsequent adult tick can then transmit infection to a new host, as shown by guinea pig models. These brown dog ticks maintain spotted fever group rickettsiae transovarially through many generations, thus serving as both vector and reservoir. 
Vaccine containing whole-killed R. rickettsii does not stimulate sufficient immunity. Studies of Rickettsia subunit antigens have demonstrated that conformationally preserved outer-membrane autotransporter proteins A and B are the leading vaccine candidates. The possibility of a potentially safe and effective live attenuated vaccine has only begun to be explored as gene knockout methods are applied to these obligately intracellular pathogens.Keywords: One Health; Rhipicephalus sanguineus; Rickettsia rickettsii; Rocky Mountain spotted fever; canine vector-borne disease; live attenuated vaccine; subunit vaccine. 
 
 LINEAGE  Lineage (full): cellular organisms; Bacteria; Pseudomonadota; Alphaproteobacteria; Rickettsiales; Rickettsiaceae; Rickettsieae; Rickettsia; spotted fever group
Snowden J, Simonsen KA. 2022 Jul 18. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 28613631 Free Books & Documents.
Rocky Mountain spotted fever (RMSF) is an acute febrile tick-borne illness caused by Rickettsia rickettsii. ...
Excerpt:  Rocky Mountain spotted fever (RMSF) is an acute febrile tick-borne illness caused by Rickettsia rickettsii. It is the most severe and most common of the rickettsial infections in North America. 
 
Boutonneuse Fever. (BF) . Vektori:   A dog tick Rhipicephalus sanguineus, Infektoiva agenssi:  R.conorii
 
MacConnachie K, Tishkowski K. 2022 Jul 4. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 32809749 Free Books & Documents.
Boutonneuse fever (BF) is an illness first detailed in Tunisia, North Africa, nearly a century ago and was called “boutonneuse” (French for “spotty”) because of the pimpled or papular skin rash that followed the fever. Boutonneuse fever is a type of infectious disease caused by bacteria of the rickettsia genus, typically found in the Mediterranean region of Europe. Other common regions include sub-Saharan Africa, India, Greece, and select regions surrounding the Black Sea. Rickettsia conorii (the causative organism) is an obligate intracellular bacterium that cannot reproduce outside of a host cell. It is a type of gram-negative bacteria (it does not retain the crystal violet stain during the Gram staining technique of bacterial identification). Boutonneuse fever (BF)  is transmitted by the bite of a dog tick (Rhipicephalus sanguineus) and is classified as a spotted fever; most people that get sick with a spotted fever will have a black eschar (a “tache noire” or black spot) at the site of the bite. The tick bite causes the zoonotic (non-human to human) bacteria to enter the blood and disseminate.

Boutonneuse fever (BF) typically has an incubation period of 5 to7 days following the tick bite. The tick bite is usually painless and may not be noticed if it occurs in an inconspicuous location. The diagnosis is commonly made based on a history of travel to an endemic location and clinical findings: fever, exanthem (rash), and the tache noire (black eschar). This disease that follows classically causes flu-like symptoms. It typically follows a similar, yet more benign clinical course compared to that of Rocky Mountain spotted fever (RMSF)  but can occasionally cause more advanced signs and symptoms such as hepatomegaly, jaundice, meningitis, other neurologic complications, orchitis, retinopathy, gastrointestinal bleeding, and pneumonia.

Treatment of BF is largely the same as for all rickettsial infections. Doxycycline is a tetracycline that remains useful in the management of obligately intracellular bacterial pathogens such as rickettsia. Patients with a more benign progression are treated with antibiotics for 7 days. Those with more progressive symptoms are usually treated for 14 days. Macrolides such as azithromycin are efficacious in children and pregnant women.

Morbidity and Functional Outcomes Following Rocky Mountain Spotted Fever  (RMSF) Hospitalization-Arizona, 2002-2017.
Drexler NA, Close R, Yaglom HD, Traeger M, Parker K, Venkat H, Villarroel L, Brislan J, Pastula DM, Armstrong PA. Open Forum Infect Dis. 2022 Oct 5;9(10):ofac506. doi: 10.1093/ofid/ofac506. eCollection 2022 Oct. PMID: 36324320
BACKGROUND: Rocky Mountain spotted fever (RMSF) is a deadly tickborne disease disproportionately affecting Arizona tribal communities. ... Conclusions: Although the etiology of sequelae is not able to be determined using this study design, life-altering sequelae were common among patients surviving severe RMSF illness. Delayed administration of the antibiotic doxycycline after day 5 was the strongest predictor of morbidity. Keywords: Rickettsia; neurology; sequela; tick.
 
Secondary hemophagocytic lymphohistiocytosis associated with Rocky Mountain spotted fever in a toddler: A case report.
Hosahalli Vasanna S, Lim PPC, Khan TS, Dalal J. EJHaem. 2022 Apr 5;3(2):463-466. doi: 10.1002/jha2.405. eCollection 2022 May. PMID: 35846066 Free PMC article.
A three-year-old boy presented with fever, maculopapular rash involving palms and soles, and hyponatremia two weeks following a tick bite. Empiric doxycycline that he was on was discontinued following negative initial rickettsial serology based on the non-endemicity of Rocky Mountain spotted fever (RMSF) in Northeast Ohio. He demonstrated high inflammatory markers and met the criteria for hemophagocytic lymphohistiocytosis (HLH). With a working diagnosis of macrophage activation syndrome secondary to presumed systemic-onset juvenile idiopathic arthritis (soJIA), he received HLH-directed therapy. Rising antibody titers in convalescent sera established the diagnosis of RMSF. The patient recovered completely with HLH directed therapy and re-institution of doxycycline. This is the first pediatric case report of Rickettsia rickettsii induced HLH demonstrating a favorable outcome despite modified therapy. Keywords: Hemophagocytic lymphohistiocytosis; Rickettsia rickettsii; Rocky Mountain spotted fever.
A forty-year review of Rocky Mountain spotted fever cases in California shows clinical and epidemiologic changes.
Kjemtrup AM, Padgett K, Paddock CD, Messenger S, Hacker JK, Feiszli T, Melgar M, Metzger ME, Hu R, Kramer VL. PLoS Negl Trop Dis. 2022 Sep 15;16(9):e0010738. doi: 10.1371/journal.pntd.0010738. eCollection 2022 Sep. PMID: 36108065 Free PMC article. Review.
Rocky Mountain spotted fever (RMSF) is a life-threatening tick-borne disease documented in North, Central, and South America. ...
Case Report: Rocky Mountain Spotted Fever with Adrenalectomy and a Hard-to-Find Tick.
Zhou C, Woods P, Abouzeid A, Brooks MN. Am J Case Rep. 2022 Jan 31;23:e934505. doi: 10.12659/AJCR.934505. PMID: 35100242 Free PMC article.
BACKGROUND Rocky Mountain spotted fever (RMSF) is a potentially fatal infectious disease caused by the gram-negative intracellular bacterium Rickettsia rickettsii. The classic triad includes fever, rash, and history of tick exposure; however, th …
An Unsuspected Case of Rocky Mountain Spotted Fever: A Lesson to Keep a Broad Differential.
Barbina S, Quiroga M, Petz C. J Investig Med High Impact Case Rep. 2022 Jan-Dec;10:23247096221145014. doi: 10.1177/23247096221145014. PMID: 36541205 Free PMC article.
Rocky Mountain spotted fever (RMSF), a tick-borne illness, can cause serious illness or death even in a healthy individual. Unfortunately, this illness can be difficult to diagnose as symptoms are nonspecific and oftentimes mimic benign viral illnesses. Delayed diagnosis can be detrimental as the timing of antibiotic administration is critical to prevent associated morbidity and mortality. A careful travel and social history can sometimes provide clues to make the diagnosis. Being aware of lesser-known objective findings such as hyponatremia, neurologic derangements, transaminitis, and thrombocytopenia may help raise suspicion for the disease. This is a case of a 72-year-old woman who presented with nonspecific symptoms and hyponatremia without known tick exposure. She was eventually diagnosed with RMSF. The timing of her presentation corresponded with a surge in COVID-19 infections throughout her area of residence, which further complicated her presentation and contributed to a delayed diagnosis. Keywords: Rocky Mountain spotted fever; hyponatremia; rickettsial disease; tick-borne illness.
Knowledge, Attitudes, and Practices on Rocky Mountain Spotted Fever among Physicians in a Highly Endemic Region-Mexicali, Mexico.
Bestul N, Padilla R, Montaño T, Márquez A, Fierro M, Zazueta OE, Armstrong PA. Am J Trop Med Hyg. 2022 Aug 22;107(4):773-779. doi: 10.4269/ajtmh.21-1017. Print 2022 Oct 12. PMID: 35995132 Free PMC article.
Rocky Mountain spotted fever (RMSF) is a potentially fatal tickborne disease caused by the bacterium, Rickettsia rickettsii and transmitted primarily by the brown dog tick (Rhipicephalus sanguineus) in the southwestern United States and Mexico. RMSF can be rapidly fatal if not treated early with doxycycline, making healthcare worker awareness and education critical to reduce morbidity and mortality. During 2008-2019, Mexicali experienced a RMSF epidemic with 779 confirmed cases, and an 11-year case-fatality rate of 18% (N = 140). A cross-sectional study was conducted with 290 physicians and physicians-in-training across 12 medical facilities in Mexicali. They were asked to complete a 23-item questionnaire to assess knowledge, attitudes, and practices for clinical, epidemiologic, and preventive aspects of RMSF. Half of participants were female, the largest age group was aged 25 to 44 (47%), and median time in practice was 6 years (interquartile rate: 1-21.5). Less than half (48%) surveyed were confident where diagnostic testing could be performed, and two-thirds did not regularly order serology (67%) or molecular diagnostic (66%) tests for RMSF when a patient presented with fever. Sixty-four percent knew doxycycline as first-line treatment of children < 8 years with suspected RMSF. When comparing healthcare workers with < 6 years of experience to those with ≥ 6 years, more experience was associated with greater confidence in where to have diagnostic testing performed (prevalence odds ratio [prevalence odds ratios [pOR]] = 2.3; P = 0.004), and frequency of ordering laboratory tests (serology, pOR = 3.3; P = 0.002; polymerase chain reaction, pOR = 3.9; P = 0.001). Continued education, including information on diagnostic testing is key to reducing morbidity and mortality from RMSF.
Modeling of Control Efforts against Rhipicephalus sanguineus, the Vector of Rocky Mountain Spotted Fever in Sonora Mexico.
Alvarez-Hernandez G, Trejo AV, Ratti V, Teglas M, Wallace DI. Insects. 2022 Mar 7;13(3):263. doi: 10.3390/insects13030263. PMID: 35323561 Free PMC article.
Rocky Mountain spotted fever (RMSF) is a significant health problem in Sonora, Mexico. The tick vector, Rhipicephalus sanguineus, feeds almost exclusively on domestic dogs that, in this region, also serve as the reservoir for the tick-borne pathogen, Rickettsia rickettsii. A process-based mathematical model of the life cycle of R. sanguineus was developed to predict combinations of insecticidal dog collars and long-lasting insecticidal wall treatments resulting in suppression of indoor tick populations. Because of a high burden of RMSF in a rural community near the Sonora state capital of Hermosillo, a test area was treated with a combination of insecticidal dog collars and long-lasting insecticidal wall treatments from March 2018 to April 2019, with subsequent reduction in RMSF cases and deaths. An estimated 80% of the dogs in the area had collars applied and 15% of the houses were treated. Data on tick abundance on walls and dogs, collected during this intervention, were used to parameterize the model. Model results show a variety of treatment combinations likely to be as successful as the one carried out in the test community.Keywords: Rhipicephalus sanguineus; Rickettsia rickettsi; Rocky Mountain spotted fever; dog collars; insecticidal wall treatment; tick control; tick-borne disease.

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