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Spotted Fever Rickettsiosis in a Wildlife Researcher in Sabah, Malaysia: A Case Study

Danau Girang Field Centre, c/o Sabah Wildlife Department, Sandakan 90009, Sabah, Malaysia
School of Biosciences, Cardiff University, Cardiff CF10 3AX, UK
Wildlife Health, Genetic and Forensic Laboratory, c/o Sabah Wildlife Department, Kota Kinabalu 88100, Sabah, Malaysia
Sustainable Places Research Institute, Cardiff University, Cardiff CF10 3BA, UK
Jesselton Medical Centre, Kota Kinabalu, Sabah 88300, Malaysia
Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Churchill Hospital, Oxford OX3 7FZ, UK
Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok 10400, Thailand
EcoHealth Alliance, New York, NY 10001-2320, USA
Sabah Wildlife Department, Kota Kinabalu, Sabah 88100, Malaysia
Author to whom correspondence should be addressed.
Trop. Med. Infect. Dis. 2018, 3(1), 29;
Received: 12 December 2017 / Revised: 14 February 2018 / Accepted: 28 February 2018 / Published: 6 March 2018
(This article belongs to the Special Issue The Past and Present Threat of Rickettsial Diseases)
We present evidence for a case of spotted fever rickettsiosis with severe complications in a young adult male. Although spotted fever group rickettsiae (SFGR) have been reported as the most prevalent cause of rickettsiosis in rural areas of Sabah, Malaysia since the 1980s, this is the first detailed case report of suspected SFGR in the state. Current data on the prevalence, type, and thorough clinical reports on complications of SFGR and other rickettsioses in Sabah is lacking and required to raise the awareness of such diseases. There is a need to emphasize the screening of rickettsioses to medical personnel and to encourage the use of appropriate antibiotics as early treatment for nonspecific febrile illnesses in this region. Suspected rickettsioses need to be considered as one of the differential diagnoses for patients presenting with acute febrile illness for laboratory investigations, and early treatment instituted. View Full-Text
Keywords: rickettsiae; Malaysia; diagnosis rickettsiae; Malaysia; diagnosis
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Salgado Lynn, M.; William, T.; Tanganuchitcharnchai, A.; Jintaworn, S.; Thaipadungpanit, J.; Lee, M.H.; Jalius, C.; Daszak, P.; Goossens, B.; Hughes, T.; Blacksell, S.D. Spotted Fever Rickettsiosis in a Wildlife Researcher in Sabah, Malaysia: A Case Study. Trop. Med. Infect. Dis. 2018, 3, 29.

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