TY - JOUR AU - Sando, Eiichiro AU - Suzuki, Motoi AU - Katayama, Mitsuya AU - Taira, Masakatsu AU - Fujita, Hiromi AU - Ariyoshi, Koya T1 - Rickettsia japonica Infection after Land Leech Bite, Japan T2 - Emerging Infectious Disease journal PY - 2019 VL - 25 IS - 6 SP - 1243 SN - 1080-6059 AB - We report a case of Rickettsia japonica infection in an 81-year-old man in central Japan. The patient had fever, rash, and an eschar but no evidence of a tick bite. His symptoms began 8 days after a land leech bite. The land leech is a potential vector of R. japonica. KW - Japanese spotted fever KW - Rickettsia KW - scrub typhus KW - Orientia tsutsugamushi KW - leech KW - Rickettsia japonica KW - bacteria KW - zoonoses KW - Japan DO - 10.3201/eid2506.181985 UR - https://wwwnc.cdc.gov/eid/article/25/6/18-1985_article ER - End of Reference