{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T06:02:42Z","timestamp":1780984962385,"version":"3.54.1"},"reference-count":14,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,4,1]]},"abstract":"<jats:p>\n                    Current serological evidence suggests the presence of scrub typhus and spotted fever group (SFG) rickettsiosis in Sri Lanka. Our objective was to identify rickettsial agents\/Q fever as aetiological causes for patients who were presumed having rickettsioses by the presence of an eschar or a rash. Sera from patients with unknown origin fever from Matara were tested by immunofluorescence for SFG rickettsial antigens, typhus group rickettsiae,\n                    <jats:italic>Orientia tsutsugamushi<\/jats:italic>\n                    , and\n                    <jats:italic>Coxiella burnetii<\/jats:italic>\n                    antigens. Thirteen (7.3%) of the patients presented with a rash, 11 (6.1%) had an inoculation eschar, and 16 patients recalled a tick or flea bite. We found that 25 (14%) patients had scrub typhus, 6 (3%) SFG rickettsioses, 3 (1.6%) acute Q fever, 3 (1.6%) murine typhus, and 3 (1.6%) were infected by\n                    <jats:italic>Rickettsia felis.<\/jats:italic>\n                    In addition to already described scrub and murine typhus, we found that\n                    <jats:italic>R. felis<\/jats:italic>\n                    and\n                    <jats:italic>C. burnetii<\/jats:italic>\n                    infections should be considered in Sri Lanka.\n                  <\/jats:p>","DOI":"10.4269\/ajtmh.2012.11-0424","type":"journal-article","created":{"date-parts":[[2012,4,4]],"date-time":"2012-04-04T18:40:09Z","timestamp":1333564809000},"page":"711-712","source":"Crossref","is-referenced-by-count":26,"title":["Detection of Rickettsioses and Q fever in Sri Lanka"],"prefix":"10.4269","volume":"86","author":[{"given":"Emmanouil","family":"Angelakis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aruna","family":"Munasinghe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iranga","family":"Yaddehige","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veranja","family":"Liyanapathirana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasanthi","family":"Thevanesam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Bregliano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Socolovschi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Edouard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre Edouard","family":"Fournier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Didier","family":"Raoult","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Parola","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"R1","series-title":"Clin Microbiol Rev","first-page":"694","article-title":"Rickettsioses as paradigms of new or emerging infectious diseases","volume":"10","author":"Raoult","year":"1997"},{"key":"R2","series-title":"Int J Infect Dis","first-page":"198","article-title":"Rickettsial infections and their clinical presentations in the western province of Sri Lanka: a hospital-based study","volume":"12","author":"Premaratna","year":"2008"},{"key":"R3","series-title":"Adv Vet Sci","first-page":"82","article-title":"Q fever: a zoonosis","volume":"5","author":"Babudieri","year":"1959"},{"key":"R4","series-title":"Vet Microbiol","first-page":"297","article-title":"Q fever","volume":"140","author":"Angelakis","year":"2010"},{"key":"R5","series-title":"Clin Diagn Lab Immunol","first-page":"324","article-title":"Kinetics of antibody responses in Rickettsia africae and Rickettsia conorii infections","volume":"9","author":"Fournier","year":"2002"},{"key":"R6","series-title":"Trop Med Int Health","first-page":"803","article-title":"Emerging rickettsial infections in Sri Lanka: the pattern in the hilly central province","volume":"8","author":"Kularatne","year":"2003"},{"key":"R7","series-title":"J Travel Med","first-page":"310","article-title":"Murine typhus as a cause of fever in travelers from Tunisia and Mediterranean areas","volume":"17","author":"Angelakis","year":"2010"},{"key":"R8","series-title":"Emerg Infect Dis","first-page":"256","article-title":"Rickettsial infections and fever, Vientiane, Laos","volume":"12","author":"Phongmany","year":"2006"},{"key":"R9","series-title":"Clin Microbiol Infect","first-page":"996","article-title":"Rickettsia felis from a rare disease in the USA to a common cause of fever in sub-Saharan Africa","volume":"17","author":"Parola","year":"2011"},{"key":"R10","series-title":"Eur J Epidemiol","first-page":"85","article-title":"Serological examination of human and animal sera from six countries of three continents for the presence of rickettsial antibodies","volume":"12","author":"Kovacova","year":"1996"},{"key":"R11","series-title":"Geogr Med Suppl","first-page":"89","article-title":"Serological examinations of dogs (Canis familiaris) in Colombo\/Sri Lanka","volume":"1","author":"Sixl","year":"1988"},{"key":"R12","series-title":"Geogr Med Suppl","first-page":"87","article-title":"Serological examinations of crows in Colombo's slaughter-house Sri Lanka","volume":"1","author":"Sixl","year":"1988"},{"key":"R13","series-title":"Geogr Med Suppl","first-page":"77","article-title":"Serological examinations of slaughtered animals (cattle and goats) in the slaughter-house of Colombo\/Sri Lanka towards antibodies against brucellosis, Q-fever, RMSF-Rickettsia-group, listeriosis, echinococcosis and adenoviruses","volume":"1","author":"Sixl","year":"1988"},{"key":"R14","series-title":"Vet Res","first-page":"469","article-title":"Tick- and flea-borne rickettsial emerging zoonoses","volume":"36","author":"Parola","year":"2005"}],"container-title":["The American Society of Tropical Medicine and 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