Tal fato vai ao encontro das afirmacoes realizadas por TIBOLA et al.
Ressaltase que o monitoramento realizado adequadamente evita pulverizacoes desnecessarias, diminuindo custos e, principalmente, reduzindo do impacto ambiental dessas praticas, sendo apontado por TIBOLA & FACHINELLO (2004) como fundamental no sistema PI.
Apart from Mediterranean spotted fever, TIBOLA may be among the most prevalent tick-borne rickettsioses in Europe (4).
We report 3 confirmed cases of TIBOLA in Portuguese patients, an indication of the emergence of this rickettsial disease in Portugal.
Aside from the typical manifestations of TIBOLA in these patients, isolation and PCR detection followed by genetic characterization of isolates were essential to confirm R.
Being well documented across southern and central Europe, and especially so in children (10), our traveler infected in Mongolia represents the first documented case of TIBOLA acquired in Asia and illustrates how travel medicine may help identify new areas of endemicity for infectious diseases.
Lastly, because most ill returnees seen at GeoSentinel sites have traveled to the tropics, we may have underestimated the incidence of rickettsial diseases typically acquired in temperate areas, including Rocky Mountain spotted fever, TIBOLA, and Mediterranean spotted fever.
, tick-borne lymphadenopathy; DEBONEL, Dermacentor-borne necrosis erythema and lymphadenopathy.
In this study, we describe 14 new patients with TIBOLA from southern France who sought treatment from January 2004 to May 2005 and compare the features of these patients with those in whom Mediterranean spotted fever (MSF) was diagnosed during the same period.
These data suggest that TIBOLA mainly occurs in young children, affects women predominately, and occurs primarily during the colder months (9,10).
CESAR VALMOR ROMBALDI (2) ,CASIANE SALETE TIBOLA
(3), JOSE CARLOS FACHINELLO (4), JORGE ADOLFO SILVA (5)