Use of eschar swab DNA to diagnose Rickettsia conorii subspecies conorii infection in Crimea: A case report

Emine E. Alieva, Muniver T. Gafarova, Eugene I. Bondarenko, Igor A. Dovgan, Irina I. Osiptchuk, Marina E. Eremeeva

Research output: Contribution to journalArticlepeer-review

Abstract

Mediterranean spotted fever (MSF) has been diagnosed clinically in the Crimean Peninsula since the 1930s. We describe the recent illness of an elderly patient from Crimea who had developed a classic triad of MSF symptoms consisting of fever, maculopapular rash, and eschar. Clinical diagnosis of rickettsiosis was confirmed using real-time PCR and sequencing of 4 Rickettsia protein genes. The strain causing clinical illness was characterized as Rickettsia conorii subspecies conorii Malish 7. This report corroborates the utility of eschar swab material as a source of DNA for PCR-based diagnostics that enables timely patient treatment and management.

Original languageEnglish
Pages (from-to)338-342
Number of pages5
JournalInfectious Medicine
Volume2
Issue number4
DOIs
StatePublished - Dec 2023

Keywords

  • Eschar
  • Mediterranean spotted fever
  • PCR
  • Rickettsia conorii
  • Swab

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