TY - JOUR
T1 - Clinical and serological study of tsutsugamushi disease
AU - Watanabe, Koichi
AU - Kohno, Shigeru
AU - Hayashi, Toshiaki
AU - Kaku, Mitsuo
AU - Dotsu, Yasumasa
AU - Inoue, Yuuichi
AU - Masuyama, Yasuharu
AU - Yamaguchi, Keizo
AU - Hirota, Masaki
AU - Hara, Kohei
AU - Yamamoto, Seigo
AU - Kawabata, Norihiko
AU - Tsutsumi, Tsuneo
AU - Ito, Naomi
AU - Nakano, Masamoto
AU - Komori, Kiyotaka
PY - 1988
Y1 - 1988
N2 - We report thirteen cases of tsutsugamushi disease, which was endemic in Nagasaki Prefecture from October to December 1987. All patients showed fever, skin rash and eschar. All cases were diagnosed serologically by indirect-immunofluorescense technique and treated with minocycline. Rickettsia tsutsugamushi was isolated from five cases. In a survey of anti-Karp, Kato, Gilliam, and newly discovered serotype (Kawasaki, Kuroki) antibodies, seven patients showed the highest antibody titers against the Kuroki strain and six against the Kawasaki strain. These findings suggest the prevalence of two serotypes of R. tsutsugamushi in Nagasaki Prefecture. The in vitro activities of six antibiotics against three clinically isolated strains of R. tsutsugamushi were determined by a cell culture method. Tetracycline, minocycline, dimethylchlortetracycline, and leucomycin showed stronger activity than chloramphenicol against R. tsutsugamushi.
AB - We report thirteen cases of tsutsugamushi disease, which was endemic in Nagasaki Prefecture from October to December 1987. All patients showed fever, skin rash and eschar. All cases were diagnosed serologically by indirect-immunofluorescense technique and treated with minocycline. Rickettsia tsutsugamushi was isolated from five cases. In a survey of anti-Karp, Kato, Gilliam, and newly discovered serotype (Kawasaki, Kuroki) antibodies, seven patients showed the highest antibody titers against the Kuroki strain and six against the Kawasaki strain. These findings suggest the prevalence of two serotypes of R. tsutsugamushi in Nagasaki Prefecture. The in vitro activities of six antibiotics against three clinically isolated strains of R. tsutsugamushi were determined by a cell culture method. Tetracycline, minocycline, dimethylchlortetracycline, and leucomycin showed stronger activity than chloramphenicol against R. tsutsugamushi.
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U2 - 10.11250/chemotherapy1953.36.12_954
DO - 10.11250/chemotherapy1953.36.12_954
M3 - Article
AN - SCOPUS:85004562377
SN - 0009-3165
VL - 36
SP - 954
EP - 961
JO - CHEMOTHERAPY
JF - CHEMOTHERAPY
IS - 12
ER -