@article{fdi:010061755, title = {{C}ommon epidemiology of {R}ickettsia felis infection and malaria, {A}frica}, author = {{M}ediannikov, {O}leg and {S}ocolovschi, {C}. and {E}douard, {S}. and {F}enollar, {F}. and {M}ouffok, {N}. and {B}assene, {H}. and {D}iatta, {G}. and {T}all, {A}. and {N}iangaly, {H}. and {D}oumbo, {O}. and {L}ekana-{D}ouki, {J}. {B}. and {Z}nazen, {A}. and {S}arih, {M}. and {R}atmanov, {P}. and {R}ichet, {H}. and {N}diath, {M}. {O}. and {S}okhna, {C}heikh and {P}arola, {P}. and {R}aoult, {D}idier}, editor = {}, language = {{ENG}}, abstract = {{T}his study aimed to compare the epidemiology of {R}ickettsia felis infection and malaria in {F}rance, {N}orth {A}frica, and sub-{S}aharan {A}frica and to identify a common vector. {B}lood specimens from 3,122 febrile patients and from 500 nonfebrile persons were analyzed for {R}. felis and {P}lasmodium spp. {W}e observed a significant linear trend (p<0.0001) of increasing risk for {R}. felis infection. {T}he risks were lowest in {F}rance, {T}unisia, and {A}lgeria (1%), and highest in rural {S}enegal (15%). {C}o-infections with {R}. felis and {P}lasmodium spp. and occurrences of {R}. felis relapses or reinfections were identified. {T}his study demonstrates a correlation between malaria and {R}. felis infection regarding geographic distribution, seasonality, asymptomatic infections, and a potential vector. {R}. felis infection should be suspected in these geographical areas where malaria is endemic. {D}oxycycline chemoprophylaxis against malaria in travelers to sub-{S}aharan {A}frica also protects against rickettsioses; thus, empirical treatment strategies for febrile illness for travelers and residents in sub-{S}aharan {A}frica may require reevaluation.}, keywords = {{FRANCE} ; {AFRIQUE} {DU} {NORD} ; {AFRIQUE} {SUBSAHARIENNE}}, booktitle = {}, journal = {{E}merging {I}nfectious {D}iseases}, volume = {19}, numero = {11}, pages = {1775--1783}, ISSN = {1080-6040}, year = {2013}, DOI = {10.3201/eid1911.130361}, URL = {https://www.documentation.ird.fr/hor/fdi:010061755}, }