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Rickettsia • Rickettsia is a diverse collection of obligate intracellular parasites found in ticks, lice, fleas, mites and mammals • Smaller than bacteria and the other biological characteristics are similar to bacteria (e.g., binary fission, cell wall, sensitive to antibiotics, containing DNA and RNA). • There are 5 genera in Rickettsia – Rickettsia – Ehrlichia – Orientia – Coxiella – Bartonella • Many species of Rickettsia cause zoonosis in human (rickettsial diseases) mediated by the arthropods (节肢动物). • R. prowazekii: human louse (vector), epidemic typhus. • R. mooseri: mouse flea (vector), endemic typhus (斑疹伤寒). • O. tsugamushi: Chigger (vector), scrub typhus (恙虫病). • C. burnetii: tick (vector), Q fever. Virulent factors • phospholipase A • LPS • capsule • Laboratory diagnosis: Isolation and culture, PCR, serological examinations and Weil-Felix test. • Weil-Felix test: Because somatic antigens of Bacillus proteus strains (OX-K and OX19) have common antigens with Orientia tsugamushi (OX-K), Rickettsia prowazekii (OX19) and Rickettsia mooseri (OX19), they are used to detect serum antibodies of patients with rickettsial diseases. • Treatment: Tetracycline is the first choice for therapy. • Prevention: No vaccine is available.