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Volume 20, Number 10—October 2014

Two Human Cases of Rickettsia felis Infection, Thailand

Sophie Edouard1, Saithip Bhengsri1, Scott F. Dowell, George Watt, Philippe Parola, and Didier RaoultComments to Author 
Author affiliations: Aix Marseille Université, Marseille, France (S. Edouard, P. Parola, D. Raoult); Thailand Ministry of Public Health–US Centers for Disease Control and Prevention Collaboration, Nonthaburi, Thailand (S. Bhengsri, G. Watt); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (S.F. Dowell)

Main Article


Characteristics of 2 febrile patients with confirmed Rickettsia felis infection, Chiang Rai Province, Thailand*

Characteristics Patient 1 Patient 2
Age, y 20 45
Sex F M
Acute-phase IgG/IgM titer 0/0 0/0
Convalescent-phase IgG/IgM titer 128/32 128/0
Hospitalization Yes Yes
Animal exposure within past 2 wk before illness
Cats No Yes
Dogs Yes Yes
Rodents No No
Insect bites Yes Yes
Mosquito bites Yes Yes
Laboratory values
Leukocytes/mm3 6,300 4,100
Hemoglobin, g/dL 11.7 16.0
Platelets/mm3 103,000 216,000
BUN, mg/dL 62 31.1
Creatinine, mg/dL 3.56 1.1
ALT, IU/dL 44.6 29.1
AST, IU/dL 49.8 30.2
Bilirubin, mg/dL 0.5 0.97
Alkaline phosphatase, IU/dL 132 137

*BUN, blood urea nitrogen; ALT, alanine aminotransferase; AST, aspartate aminotransferase.

Main Article

1These authors contributed equally to this article.

Page created: September 23, 2014
Page updated: September 23, 2014
Page reviewed: September 23, 2014
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