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Scrub typhus, caused by Orientia tsutsugamushi, is a zoonosis that spreads rapidly in Shandong, China. To investigate the molecular characterization of O. tsutsugamushi in new and old epidemic areas in Shandong Province, we compared the genetic relationships of O. tsutsugamushi between Linyi and Taian districts, typical old and new epidemic areas in Shandong, respectively. O. tsutsugamushi was detected in blood from 12 of 16 patients in Linyi and in eschar from 3 of 4 patients in Taian; 17 of 128 rodents were found to be infected with O. tsutsugamushi in Linyi, and 4 of 68 rodents were found to be O. tsutsugamushi-positive in Taian. The results indicated less genetic variation in O. tsutsugamushi between the new and old epidemic areas, and the Sdu-1 type, similar to Japan Kawasaki, was the main genotype of O. tsutsugamushi in Shandong Province.
Received September 3, 2007. Accepted for publication March 1, 2008.
Financial support: This study supported by the National Natural Science Foundation of China (No. 30371237) and the Specialized Research Fund for the Doctoral Program of Higher Education of Ministry of Education, China (No. 20050422052).
* Address correspondence to Zhong-Tang Zhao, Department of Epidemiology and Health Statistics, School of Public Health, Shandong University, 44 Wenhua Xi Road, Jinan 250012, Peoples Republic of China. E-mail: ztzhao{at}sdu.edu.cn
Authors addresses: Li-Ping Yang and Zhong-Tang Zhao, Department of Epidemiology and Health Statistics, School of Public Health, Shandong University, 44 Wenhua Xi Road, Jinan 250012, Peoples Republic of China, Tel: 86-531-88382128, Fax: 86-531-88382553, E-mail: ztzhao{at}sdu.edu.cn. Zhong Li and Xian-Jun Wang, Department of Prevention and Control of Infectious Disease, Shandong Center for Disease Control and Prevention, Jinan 250014, Peoples Republic of China. Yun-Xi Liu, Department of Nosocomial Infection Management and Disease Control, Institute of Hospital Management, General Hospital of PLA, Beijing 100853, Peoples Republic of China. Peng Bi, Department of Public Health, School of Population Health and Clinical Practice, The University of Adelaide, Adelaide SA 5005, Australia.
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