@article {66921,
	title = {Human rickettsioses in the Batna area, eastern Algeria},
	journal = {Jounal of ScienceDirect, Ticks and Tick-borne Diseases 152, ISSN: 1877-9603, PMID: 23182273, DecJounal of ScienceDirect, Ticks and Tick-borne Diseases 152, ISSN: 1877-9603, PMID: 23182273, Dec},
	volume = {3},
	year = {2012},
	month = {2012},
	pages = {pp 364-366},
	abstract = {In order to investigate the\&nbsp;prevalence\&nbsp;of rickettsioses in febrile\&nbsp;exanthemas\&nbsp;in eastern Algeria, we conducted a prospective serological analysis of all patients presenting with this clinical picture at the\&nbsp;Infectious Diseases\&nbsp;Department in the Batna\&nbsp;Hospital\&nbsp;from January 2000 to September 2006. One hundred and eight\&nbsp;adult\&nbsp;patients were included in the study, 46\% of whom younger than 25 years, and 72.5\% were admitted from May to September. Patients were tested for\&nbsp;antibodies\&nbsp;to\&nbsp;Rickettsia conorii\&nbsp;conorii,\&nbsp;R. conorii israelensis,\&nbsp;R. aeschlimannii,\&nbsp;R.\&nbsp;felis,\&nbsp;R. sibirica mongolitimonae,\&nbsp;R. africae,\&nbsp;R.\&nbsp;massiliae,\&nbsp;R. typhi, and\&nbsp;R. prowazekii\&nbsp;using microimmunofluorescence and\&nbsp;Western blot\&nbsp;as confirmation procedure. Both methods confirmed the\&nbsp;diagnosis\&nbsp;ofMediterranean spotted fever\&nbsp;in 5 patients (4.6\%), flea\&nbsp;spotted fever\&nbsp;in 2 patients (1.9\%), and\&nbsp;R. aeschlimannii\&nbsp;infection in 2 patients (1.9\%). In addition, 4 patients were diagnosed as having\&nbsp;murine typhus\&nbsp;(3.7\%) and one with epidemic\&nbsp;typhus\&nbsp;(0.9\%). To the best of our knowledge, this is the first report ofR. felis\&nbsp;infection and\&nbsp;R. aeschlimannii\&nbsp;infection in Algeria. In conclusion, at least 5 different kinds of\&nbsp;rickettsiosis\&nbsp;coexist in eastern Algeria and, being responsible for 13\% of cases of febrile exanthemas, should be considered among major causes of this clinical picture in this\&nbsp;area. In addition, we emphasize the high incidence of typhus group rickettioses, includingepidemic typhus, in this area.},
	author = {Mokrani, Khamsa and Tebbal, Soraya and Raoult, Didier and Fournier, Pierre Edouard}
}
