Atypical chronic clinical manifestations of spotted fever rickettsial infections in Sri Lanka: a case series of 246 patients

Chronic conditions like arthritis, enthesopathy, and neurological impairments may stem from rickettsial infection, as indicated by their prevalence, especially in endemic areas. The positive response to antibiotics highlights the importance of raising awareness and considering rickettsial infection in patients with unexplained chronic symptoms. Further research is needed to better understand these manifestations and optimize management.

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Publication Details

Journal
Postgraduate Medical Journal
Published
2025-06-06
DOI
https://doi.org/10.1093/postmj/qgaf097
Primary Topic
Vector-borne infectious diseases
Type
article
Field-Weighted Citation Impact
0.00
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article

Atypical chronic clinical manifestations of spotted fever rickettsial infections in Sri Lanka: a case series of 246 patients

J.K. Rajapaksha, Kosala Weerakoon, Sachini Hettiarachchi, Manoji Pathirage et al.
2 links
Postgraduate Medical Journal
Vector-borne infectious diseases
article

Atypical chronic clinical manifestations of spotted fever rickettsial infections in Sri Lanka: a case series of 246 patients

J.K. Rajapaksha, Kosala Weerakoon, Sachini Hettiarachchi, Manoji Pathirage, S.A.M. Kularatne, Damsara Kularatne, Kasun Wijethunga
article en

Abstract

Chronic conditions like arthritis, enthesopathy, and neurological impairments may stem from rickettsial infection, as indicated by their prevalence, especially in endemic areas. The positive response to antibiotics highlights the importance of raising awareness and considering rickettsial infection in patients with unexplained chronic symptoms. Further research is needed to better understand these manifestations and optimize management.

Postgraduate Medical JournalVol. 101(1202)
University of Peradeniya (LK), Rajarata University of Sri Lanka (LK)
Good health and well-being
Openalex Percentile: Top 84%
Vector-borne infectious diseases
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