Background: Rickettsia parkeri spotted fever (RpSF) is a tick-borne disease, emergent in Argentina. The first cases were related to transmission through the tick Amblyomma triste, but a role was son after described for A.tigrinum, a relevant fact since this supposed an expansion of the endemic area, given its wide distribution in our country. The aim of this study was to describe clinical and epidemiological characteristics of the disease in our country. Methods & Materials: A retrospective analysis through revision of medical records (n: 20) of a series of cases of patients with diagnosis of RpSF. A case was considered probable in the presence of clinical and epidemiological clues associated to seroconversion to Rickettsia spp., and confirmed when Rp was identified by means of a positive PCR in a tissue biopsy. Results: 60% were women (n:12/20). Average age was 48 years (Rank: 15-73). Geographical distribution by provinces: 40% Buenos Aires, 25% San Luis, 10% San Juan, 10% Córdoba, 5% La Rioja, 5% Entre Ríos, 5% La Pampa. Environment where contact with the vector took place: 45% peri-urban, 25% rural, 30% wild areas. Activity performed at contact with the vector: 30% occupational, 20% recreational, 50% household. 35% of patients had confirmed contact with dogs. Clinical characteristics: see Table 1. Eschar distribution: 30% scalp and neck, 30% trunk, 20% lower limbs, 5% hands, upper limbs, mammary glands and disseminated (each). 80% were treated with doxicycline, 20% received no antimicrobial treatment. All cases resolved without sequelae.Table 1.Fever95%Headache75%Myalgias75%Regional lymphadenopathies30%Rash85%Maculo-papular76%Maculo-vesicular18%Purpuric6%Inoculation eschar95% Open table in a new tab Conclusion: Described for the first time as a human pathogen in USA in 2004, Rp was shortly after reported in Argentina. RpSF represents a major challenge for the health system, with increasing number of reports throughout the country. Urbanization in the rural-urban interfase and lack of ectoparasite control in dogs could favour its dissemination
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