Abstract

Abstract Australia has 4 rickettsial diseases: murine typhus, Queensland tick typhus, Flinders Island spotted fever, and scrub typhus. We describe 7 cases of a rickettsiosis, with an acute onset and symptoms of fever (100%), headache (71%), arthralgia (43%), myalgia (43%), cough (43%), maculopapular/petechial rash (43%), nausea (29%), pharyngitis (29%), lymphadenopathy (29%), and eschar (29%). Cases were most prevalent in autumn and from eastern Australia, including Queensland, Tasmania, and South Australia. One patient had a history of tick bite (Haemaphysalis novaeguineae). An isolate shared 99.2%, 99.8%, 99.8%, 99.9%, and 100% homology with the 17 kDa, ompA, gltA, 16S rRNA, and Sca4 genes, respectively, of Rickettsia honei. This Australian rickettsiosis has similar symptoms to Flinders Island spotted fever, and the strain is genetically related to R. honei. It has been designated the “marmionii” strain of R. honei, in honor of Australian physician and scientist Barrie Marmion.

Highlights

  • We report an outbreak investigation in a nursing home during 2018 and infection control guidelines to assist in disease control

  • We report a large outbreak of Human metapneumovirus (HMPV)-associated severe respiratory illness in a nursing home that affected 62% of residents

  • We found that a large proportion of dogs were exposed to or infected with L. infantum, indicating endemicity in dogs and zoonotic risk for humans

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Summary

Objectives

Our aim was to collect epidemiologic and clinical data about infections caused by Pasteurella spp. to achieve a comprehensive review. The objective of our study was to estimate total WNV disease burden in the continental US population during 1999–2016. The objective of this study was to examine whether C. felis infection is present in domestic cats in China. We aimed to assess the number of malaria cases, distributed by species, in symptomatic patients at a public health center in Sifontes municipality during epidemiologic week 50, 2016, and compare them with cases from the same week during 2014, 2015, and 2017. The objective of this study was to estimate the seroprevalence of antibodies against Heartland virus in a convenience sample of blood donors who reside in northwestern Missouri where human cases and infected ticks have been identified (1,3,6)

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