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Rocky Mountain Spotted Fever in a Large Metropolitan Center, Mexico–United States Border, 2009–2019

by Rodriguez-Lomeli, Moises , Armstrong, Paige A. , Márquez-Elguea, Adriana , Trejo-Dozal, Guillermo , Ovalle-Marroquín, Diego F. , Arroyo-Machado, Rodolfo , Fierro, Maria , Zazueta, Oscar E. , Paddock, Christopher D. , Peterson, Amy E. , Hernández Milán, Néstor Saúl

in Antibodies / Arachnids / Epidemics / Epidemiology / Fatalities / Fever / Geography / Health aspects / Hospitals / Illnesses / Laboratories / Metropolitan areas / Mexico / Mortality / Neighborhoods / Rhipicephalus sanguineus / Rickettsia rickettsii / Rocky Mountain spotted fever / Rocky Mountain Spotted Fever in a Large Metropolitan Center, Mexico–United States Border, 2009–2019 / Statistics / tickborne diseases / United States / zoonoses

2021

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Rocky Mountain Spotted Fever in a Large Metropolitan Center, Mexico–United States Border, 2009–2019

2021

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Rocky Mountain Spotted Fever in a Large Metropolitan Center, Mexico–United States Border, 2009–2019

2021

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Journal Article

Rocky Mountain Spotted Fever in a Large Metropolitan Center, Mexico–United States Border, 2009–2019

Rodriguez-Lomeli, Moises,

Armstrong, Paige A.,

Márquez-Elguea, Adriana,

Trejo-Dozal, Guillermo,

Ovalle-Marroquín, Diego F.,

Arroyo-Machado, Rodolfo,

Fierro, Maria,

Zazueta, Oscar E.,

Paddock, Christopher D.,

Peterson, Amy E.,

Hernández Milán, Néstor Saúl

2021

Overview

Epidemic levels of Rocky Mountain spotted fever (RMSF) have persisted in Mexicali, Mexico, since the initial outbreak was first reported in December 2008. We compared clinical and epidemiologic data of cases in Mexicali during 2009–2019 between patients with an IgG titer reactive with Rickettsia rickettsii bacteria by indirect immunofluorescence antibody (IFA) assay and those who demonstrated DNA of R. rickettsii in a whole blood sample when tested by PCR. We identified 4,290 patients with clinical and epidemiologic features compatible with RMSF; of these, 9.74% tested positive by IFA and 8.41% by PCR. Overall, 140 patients died (11-year case-fatality rate 17.97%). Substantial differences in the frequency of commonly recognized clinical characteristics of RMSF were identified between PCR-positive and IFA-positive cases. The Mexicali epidemic is unique in its size and urban centralization. Cases confirmed by PCR most accurately reflect the clinical profile of RMSF.

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Publisher

U.S. National Center for Infectious Diseases,Centers for Disease Control and Prevention

Subject

/ Fever