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Article

Investigation of Rickettsia conorii in Patients Suspected of Having Crimean-Congo Hemorrhagic Fever

1
Department of Epidemiology and Biostatics, Research Centre for Emerging and Reemerging Infectious Diseases, Pasteur Institute of Iran, Tehran 1316943551, Iran
2
National Reference Laboratory for Plague, Tularemia and Q Fever, Research Centre for Emerging and Reemerging Infectious Diseases, Pasteur Institute of Iran, Akanlu, KabudarAhang, Hamadan 6556153145, Iran
3
Department of Arboviruses & Viral Hemorrhagic Fevers (National Reference Laboratory), Pasteur Institute of Iran, Tehran 1316943551, Iran
4
Australian Rickettsial Reference Laboratory, University Hospital Geelong, Geelong, VIC 3220, Australia
*
Author to whom correspondence should be addressed.
Pathogens 2022, 11(9), 973; https://doi.org/10.3390/pathogens11090973
Submission received: 6 July 2022 / Revised: 20 August 2022 / Accepted: 24 August 2022 / Published: 26 August 2022
(This article belongs to the Collection Updates on Rickettsia and Coxiella)

Abstract

Rickettsia conorii is the causative agent of Mediterranean spotted fever (MSF). Misdiagnosis of MSF may occur with febrile syndromes associated with rash and thrombocytopenia, such as Crimean-Congo hemorrhagic fever (CCHF). This study aimed to determine the prevalence of R. conorii among serum samples obtained from 260 suspected CCHF patients with features of MSF in Iran (2018–2020). The quantitative polymerase chain reaction (qPCR) method detected three (1.15%) positive 16S rDNA Rickettsia spp. samples that were classified as R. conorii subsp. conorii, R. conorii subsp. Israelensis, and R. helvetica using the sequencing of gltA, ompA, and 17kDa genes. Furthermore, R. conorii IgM antibodies presented in 38 (14.62%) patients by the enzyme-linked immunosorbent assay (ELISA) method. Out of 97 MSF patients with available paired serum samples, IgM seroconversion and a four-fold increase were observed in 14 (14.43%) and 12 (12.37%) patients, respectively. We concluded that rickettsial agents are present in Iran and may be misdiagnosed with other febrile syndromes.
Keywords: Mediterranean spotted fever; Rickettsia conorii; Congo-Crimean hemorrhagic fever; Rickettsia helvetica Mediterranean spotted fever; Rickettsia conorii; Congo-Crimean hemorrhagic fever; Rickettsia helvetica

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MDPI and ACS Style

Baseri, N.; Salehi-Vaziri, M.; Mostafavi, E.; Bagheri Amiri, F.; Latifian, M.; Stenos, J.; Esmaeili, S. Investigation of Rickettsia conorii in Patients Suspected of Having Crimean-Congo Hemorrhagic Fever. Pathogens 2022, 11, 973. https://doi.org/10.3390/pathogens11090973

AMA Style

Baseri N, Salehi-Vaziri M, Mostafavi E, Bagheri Amiri F, Latifian M, Stenos J, Esmaeili S. Investigation of Rickettsia conorii in Patients Suspected of Having Crimean-Congo Hemorrhagic Fever. Pathogens. 2022; 11(9):973. https://doi.org/10.3390/pathogens11090973

Chicago/Turabian Style

Baseri, Neda, Mostafa Salehi-Vaziri, Ehsan Mostafavi, Fahimeh Bagheri Amiri, Mina Latifian, John Stenos, and Saber Esmaeili. 2022. "Investigation of Rickettsia conorii in Patients Suspected of Having Crimean-Congo Hemorrhagic Fever" Pathogens 11, no. 9: 973. https://doi.org/10.3390/pathogens11090973

APA Style

Baseri, N., Salehi-Vaziri, M., Mostafavi, E., Bagheri Amiri, F., Latifian, M., Stenos, J., & Esmaeili, S. (2022). Investigation of Rickettsia conorii in Patients Suspected of Having Crimean-Congo Hemorrhagic Fever. Pathogens, 11(9), 973. https://doi.org/10.3390/pathogens11090973

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