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Fatal Rickettsia conorii subsp. israelensis infection, Israel. 2008
Miriam Weinberger, and
Avi Keysary, and
Judith Sandbank, and
Ronit Zaidenstein, and
Avi Itzhaki, and
Carmela Strenger, and
Moshe Leitner, and
Christopher D Paddock, and
Marina E Eremeeva
Infectious Diseases Unit, Assaf Harofeh Medical Center, Zerifin 70300, Israel. miriw@netvision.net.il
Underdiagnosis of fatal spotted fever may be attributed to nonspecific clinical features and insensitive acute-phase serologic studies. We describe the importance of molecular and immunohistochemical methods in establishing the postmortem diagnosis of locally acquired Israeli spotted fever due to Rickettsia conorii subsp. israelensis in a traveler returning to Israel from India.
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