Etiology of tick-borne febrile illnesses in adult residents of North-Eastern Poland: report from a prospective clinical study

International Journal of Medical Microbiology : IJMM
A GrzeszczukJoanna Stańczak

Abstract

Febrile tick-borne diseases can be caused by different pathogens. The study objective was to prospectively determine the etiology of infection among adults exposed to tick bite and to detect acute human granulocytic anaplasmosis (HGA), a recently emerging infection, in north-eastern Poland. We evaluated 68 patients (34 males and 34 females, mean age 44.2+/-15 years) who had fever within 4 weeks after a tick bite. Paired sera were tested for antibodies against tick-borne encephalitis virus, Borrelia burgdorferi and Anaplasma phagocytophilum. Microscopic examination of EDTA whole blood and nested PCR targeting A. phagocytophilum 16S rDNA gene fragment were carried out at enrolment. Tick-borne infections were diagnosed in 57 individuals (84%). Sixty-four patients were hospitalised. Tick-borne encephalitis (TBE) was revealed in 49 cases; in 39 patients as a single infection, in three patients concurrent with erythema migrans or other Lyme borreliosis symptoms, in five patients concurrent with probable or possible Lyme borreliosis, and in two patients concurrent with A. phagocytophilum infection. Diagnosis of HGA was confirmed in one patient by PCR and in another one by seroconversion. In two further individuals, A. phagocytophilum ...Continue Reading

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Citations

Sep 23, 2006·Vector Borne and Zoonotic Diseases·A GrzeszczukO Kovalchuk
Mar 12, 2013·Vector Borne and Zoonotic Diseases·Renata Welc-FalęciakJerzy M Behnke
Aug 29, 2012·Medical and Veterinary Entomology·A MovilaI Toderas
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Mar 2, 2018·Journal of Parasitic Diseases : Official Organ of the Indian Society for Parasitology·Mousa Khosravani
Jun 10, 2008·The Pediatric Infectious Disease Journal·Anna PsaroulakiYannis Tselentis

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