{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T08:18:12Z","timestamp":1789892292232,"version":"4.0.1"},"reference-count":14,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,8,7]]},"abstract":"<jats:p><jats:italic>Rickettsia monacensis<\/jats:italic> and <jats:italic>Orientia tsutsugamushi<\/jats:italic> are bacteria of the family Rickettsiaceae, which causes fever, rash, and eschar formation; outdoor activities are a risk factor for Rickettsiaceae infection. A 75-year-old woman presented with fever, rash, and eschar and was confirmed as being scrub typhus based on a nested-polymerase chain reaction (N-PCR) test for a 56-kDa gene of <jats:italic>O. tsutsugamushi<\/jats:italic>; the genome was identified as the Boryong genotype. In addition, a pan-Rickettsia real-time PCR test was positive and a N-PCR test using a <jats:italic>Rickettsia<\/jats:italic>-specific partial outer membrane protein A (rOmpA) confirmed <jats:italic>R. monacensis<\/jats:italic>. This is the first case wherein a patient suspected of having scrub typhus owing to the presence of rash and eschar was also found to be coinfected with <jats:italic>O. tsutsugamushi<\/jats:italic> and <jats:italic>R. monacensis<\/jats:italic> based on molecular testing.<\/jats:p>","DOI":"10.4269\/ajtmh.18-0631","type":"journal-article","created":{"date-parts":[[2019,6,18]],"date-time":"2019-06-18T07:00:35Z","timestamp":1560841235000},"page":"332-335","source":"Crossref","is-referenced-by-count":8,"title":["Case Report: Coinfection with Rickettsia monacensis and Orientia tsutsugamushi"],"prefix":"10.4269","volume":"101","author":[{"given":"Seok Won","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, College of Medicine, Chosun University, Gwangju, Republic of Korea;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Choon-Mee","family":"Kim","sequence":"additional","affiliation":[{"name":"Premedical Science, College of Medicine, Chosun University, Gwangju, Republic of Korea;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong-Min","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, College of Medicine, Chosun University, Gwangju, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Na Ra","family":"Yun","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, College of Medicine, Chosun University, Gwangju, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"b1","series-title":"Vector Borne Zoonotic Dis","first-page":"249","article-title":"Update on spotted fever group Rickettsiae in South Africa","volume":"4","author":"Pretorius","year":"2004"},{"key":"b2","series-title":"Diagn Microbiol Infect Dis","first-page":"1","article-title":"Activation of the coagulation cascade in patients with scrub 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