2007
DOI: 10.3201/eid1311.070099
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Severe Spotted Fever Group Rickettsiosis, Australia

Abstract: We report 3 cases of spotted fever group rickettsial infection (presumed Queensland tick typhus) in residents of northern Queensland, Australia, who had unusually severe clinical manifestations. Complications included renal failure, purpura fulminans, and severe pneumonia. Clinical illness caused by Rickettsia australis may not be as benign as previously described.

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Cited by 47 publications
(54 citation statements)
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“…Cases of R. australis infection are seldom reported in the literature but do occur, with the severity of disease ranging from very mild to life threatening. Fatalities linked to R. australis infection are rare, and severe disease in patients with underlying problems is uncommon (448)(449)(450).…”
Section: Species Identified As Pathogensmentioning
confidence: 99%
“…Cases of R. australis infection are seldom reported in the literature but do occur, with the severity of disease ranging from very mild to life threatening. Fatalities linked to R. australis infection are rare, and severe disease in patients with underlying problems is uncommon (448)(449)(450).…”
Section: Species Identified As Pathogensmentioning
confidence: 99%
“…In fact, in 1997, in Portugal, some of the severe cases were caused by R. conorii israelensis (4). Recently, a severe spotted fever case caused by R. australis has been reported (25); the organism was previously considered to be responsible for a benign disease.…”
Section: Historical Backgroundmentioning
confidence: 99%
“…There are several well-documented Rickettsia spp. 2 in Australia of clinical importance: Rickettsia australis (Queensland tick typhus), 3 Rickettsia honei (Flinders Island spotted fever), 4 Rickettsia typhi (murine typhus), 5 and Rickettsia felis (cat flea typhus). 6 Despite its presence on the eastern parts of Australia, spotted fever group rickettsioses have rarely been reported from Western Australia (WA), a state that consists of roughly a third of the continent, or an area of over 2.5 million km 2 .…”
Section: Introductionmentioning
confidence: 99%