Dual Infection with Ehrlichia chaffeensis and a Spotted Fever Group Rickettsia: A Case Report—Reply to Dr. Sulzer
1998

Dual Infection with Ehrlichia chaffeensis and a Spotted Fever Group Rickettsia

Sample size: 246 publication

Author Information

Author(s): Sexton Daniel J., Walker David H.

Primary Institution: Duke University Medical Center; University of Texas Medical Branch

Conclusion

There is no proof that any of the patients described by Wilson and Chowning had simultaneous acute babesial and rickettsial infection.

Supporting Evidence

  • Several investigators suggested that some patients may have had coinfection with Babesia and Rickettsia rickettsii.
  • A serologic survey of 246 Bitter Root Valley residents in 1978 showed no antibabesial antibodies.
  • Contemporary experts believe that Wilson and Chowning described organisms of the genus Babesia.

Takeaway

The study looked at whether patients had two infections at the same time, but found no clear evidence for it.

Limitations

The study did not demonstrate endemic foci of babesial infection in the Bitter Root Valley.

Participant Demographics

Bitter Root Valley residents, with a serologic survey of 246 individuals.

Digital Object Identifier (DOI)

10.3201/eid0404.980431

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