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Journal of Clinical Microbiology, February 2004, p. 816-818, Vol. 42, No. 2
0095-1137/04/$08.00+0     DOI: 10.1128/JCM.42.2.816-818.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.

Aneruptive Fever Associated with Antibodies to Rickettsia helvetica in Europe and Thailand

Unité des rickettsies, IFR 48, CNRS UMR 6020, Faculté de médecine, Université de la Méditerranée, 13385 Marseille cedex 05, France,¹ Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand,² Department of Infectious Diseases, Ospedale S. Martino, Belluno, Italy³

Received 12 August 2003/ Returned for modification 12 October 2003/ Accepted 27 October 2003

We report that eight patients from France, Italy, and Thailand had serological evidence of Rickettsia helvetica infection. The infection presented as a mild disease in the warm season and was associated with fever, headache, and myalgia but not with a cutaneous rash. R. helvetica should be suspected in patients with unexplained fever, especially following a bite from an Ixodes sp. tick.

In memory of Giuseppe Caruso (1938-2003), a famous tick hunter, dedicated medical doctor, and friend.

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