Duan Xuefei and Hao Qin contributed equally to this article.
Epidemiological and Clinical Features of Three Clustered Cases Co-Infected with Lyme Disease and Rickettsioses
Article first published online: 31 DEC 2012
© 2012 Blackwell Verlag GmbH
Zoonoses and Public Health
Volume 60, Issue 7, pages 487–493, November 2013
How to Cite
Xuefei, D., Qin, H., Xiaodi, G., Zhen, G., Wei, L., Xuexia, H., Jiazhen, G., Xiuping, F., Meimei, T., Jingshan, Z., Yunru, L., Xiaoling, F., Kanglin, W. and Xingwang, L. (2013), Epidemiological and Clinical Features of Three Clustered Cases Co-Infected with Lyme Disease and Rickettsioses. Zoonoses and Public Health, 60: 487–493. doi: 10.1111/zph.12025
- Issue published online: 19 OCT 2013
- Article first published online: 31 DEC 2012
- Received for publication March 20, 2012
- China Mega-Project for Infectious Disease. Grant Number: 2011ZX10004-001
- Natural Science Foundation of China. Grant Number: 31100105
- Lyme disease;
- scrub typhus;
Lyme disease and rickettsioses are two common diseases in China. However, the concomitant occurrence of both diseases in a single individual has been reported infrequently in literature. We reported three related female patients admitted at Beijing Ditan Hospital from October to December 2010. They had similar epidemiological histories. At the beginning, they only got a single diagnosis, respectively, but after specific screenings, the final diagnoses were made. Because arthropods can harbour more than one disease-causing agent, patients can be infected with more than one pathogen at the same time, so the possibility of co-infection could be higher than what was thought previously. These observations suggested that clinicians should enhance the complete screening of arthropod-related infectious diseases so as to make an accurate diagnosis and to avoid diagnostic errors.