Rare Case of Rickettsiosis Caused by <i>Rickettsia monacensis</i>, Portugal, 2021
Rita de Sousa, Marta Leal Santos, Claudina Cruz, Vasco Almeida, Ana Raquel Garrote, Freddy Ramírez, Diana Seixas, Maria J. Manata, Fernando Maltêz
Abstract
in America with the settlers and as a result of the slave trade (7). To clarify the clinical outcomes of M. lepromatosis infection, a study in Mexico associated both mycobacteria with the forms already classified by Ridley and Jopling (8). That study found that, of the 55 cases with M. lepromatosis as the sole etiologic agent, 34 manifested LL, 13 developed diffuse LL, and the remaining 8 had other forms of leprosy. Fourteen patients carried both mycobacteria and showed all clinical forms (2). In contrast, 15% of leprosy patients in Brazil who had M. lepromatosis as the sole agent had polar tuberculoid leprosy, none had LL, and patients with infection by both mycobacteria had LL (7). The same study evaluated 8 patients in Myanmar and found M. lepromatosis in 2 patients, both of whom had LL (7).