{"doi":"10.1016/j.jinf.2023.03.015","title":"Imported rickettsial infections to the United Kingdom, 2015–2020","abstract":null,"journal":"Journal of Infection","year":2023,"id":675962,"datarank":1.0067138826419006,"base_score":2.4849066497880004,"endowment":2.4849066497880004,"self_citation_contribution":0.37273599746820013,"citation_network_contribution":0.6339778851737005,"self_endowment_contribution":0.37273599746820013,"citer_contribution":0.6339778851737005,"corpus_percentile":null,"corpus_rank":null,"citation_count":11,"citer_count":11,"citers_with_citation_signal":10,"citers_with_endowment":10,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1766198,"name":"Jane Osborne","orcid":null,"position":1,"is_corresponding":false},{"id":1766199,"name":"Laura Nabarro","orcid":null,"position":2,"is_corresponding":false},{"id":1766200,"name":"Barry Gibney","orcid":null,"position":3,"is_corresponding":false},{"id":1766201,"name":"Daniel P. Carter","orcid":null,"position":4,"is_corresponding":false},{"id":1766202,"name":"Jennifer Warner","orcid":null,"position":5,"is_corresponding":false},{"id":1766203,"name":"Catherine F. Houlihan","orcid":null,"position":6,"is_corresponding":false},{"id":1766204,"name":"Timothy J.G. Brooks","orcid":null,"position":7,"is_corresponding":false},{"id":1766205,"name":"Tommy Rampling","orcid":null,"position":8,"is_corresponding":false},{"id":1766197,"name":"Clare E. Warrell","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Imported rickettsial infections to the United Kingdom, 2015–2020","abstract":"OBJECTIVE: The burden of imported rickettsial infection in the UK is not previously described. This retrospective review identifies rickettsial cases diagnosed at the national reference laboratory between 2015 and 2022. METHODS: Samples testing positive for spotted fever group, typhus group, and scrub typhus IgG/IgM on acute and convalescent blood samples, and/or PCR on tissue/blood were categorized as suspected, confirmed or past infection. RESULTS: 220 patients had rickettsioses, and the commonest import was acute spotted fever group infection (61%, 125/205), 54% (62/114) from South Africa. In acute typhus group cases, 60% (40/67) were from Southeast Asia. One patient with Rickettsia typhi bacteremia died. Scrub typhus group infections (5%, 10/205) were exclusively from Asia and the Western Pacific regions. Overall, 43% of confirmed cases (39/91) had not received doxycycline prior to results. CONCLUSIONS: Rickettsial infections are important and under-recognized causes of imported fever in the UK. Thorough history, examination, and timely treatment with doxycycline should be considered if there is suspicion of Rickettsia infection before testing.","is_dataset_classified":null,"base_score":2.4849066497880004,"endowment":2.4849066497880004,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"36948252","pmcid":null,"openalex_id":"https://openalex.org/W4328136825","authors":[],"funders":[],"total_grants":0,"fwci":2.6199,"citation_percentile":0.88177437,"influential_citations":0,"citation_trend":[{"year":2023,"count":2},{"year":2024,"count":5},{"year":2025,"count":3},{"year":2026,"count":1}],"oa_status":"hybrid","license":"cc-by-nc-nd","oa_locations":[{"url":"http://www.journalofinfection.com/article/S0163445323001445/pdf","host_type":"journal"},{"url":"http://www.journalofinfection.com/article/S0163445323001445/pdf","host_type":"publisher"},{"url":"https://api.elsevier.com/content/article/PII:S0163445323001445?httpAccept=text/xml","host_type":"publisher"},{"url":"https://api.elsevier.com/content/article/PII:S0163445323001445?httpAccept=text/plain","host_type":"publisher"},{"url":"https://doi.org/10.1016/j.jinf.2023.03.015","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/36948252","host_type":"repository"}],"fields_of_study":["Vector-borne infectious diseases","Leptospirosis research and findings","Parasites and Host Interactions"],"mesh_terms":["Spotted Fever Group Rickettsiosis","Doxycycline","Humans","Rickettsia","Rickettsia Infections","Scrub Typhus","Typhus, Epidemic Louse-Borne"],"keywords":["Murine typhus","Scrub typhus","Rickettsia typhi","Spotted fever","Rickettsia","Doxycycline","Rickettsiosis","Bacteremia","Medicine","Typhus","Orientia tsutsugamushi","Virology","Antibiotics","Biology","Microbiology","Tick","Fever","Eschar"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Good health and well-being"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-17T01:55:15.137610Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}