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''Rickettsia'' is a
genus Genus (; : genera ) is a taxonomic rank above species and below family (taxonomy), family as used in the biological classification of extant taxon, living and fossil organisms as well as Virus classification#ICTV classification, viruses. In bino ...
of nonmotile,
gram-negative Gram-negative bacteria are bacteria that, unlike gram-positive bacteria, do not retain the crystal violet stain used in the Gram staining method of bacterial differentiation. Their defining characteristic is that their cell envelope consists ...
, nonspore-forming, highly pleomorphic
bacteria Bacteria (; : bacterium) are ubiquitous, mostly free-living organisms often consisting of one Cell (biology), biological cell. They constitute a large domain (biology), domain of Prokaryote, prokaryotic microorganisms. Typically a few micr ...
that may occur in the forms of
cocci Bacterial cellular morphologies are the shapes that are characteristic of various types of bacteria and often key to their identification. Their direct examination under a light microscope enables the classification of these bacteria (and archaea ...
(0.1 μm in diameter),
bacilli Bacilli is a Taxonomy (biology), taxonomic Class (biology), class of bacteria that includes two orders, Bacillales and Lactobacillales, which contain several well-known pathogens such as ''Bacillus anthracis'' (the cause of anthrax). ''Bacilli'' ...
(1–4 μm long), or threads (up to about 10 μm long). The genus was named after Howard Taylor Ricketts in honor of his pioneering work on tick-borne
spotted fever A spotted fever is a type of tick-borne disease which presents on the skin. They are all caused by bacteria of the genus '' Rickettsia''. Typhus is a group of similar diseases also caused by ''Rickettsia'' bacteria, but spotted fevers and typhus a ...
. Properly, ''Rickettsia'' is the name of a single genus, but the informal term "rickettsia", plural "rickettsias," usually not capitalised, commonly applies to any members of the order
Rickettsiales The Rickettsiales, informally called rickettsias, are an order of small Alphaproteobacteria. They are obligate intracellular parasites, and some are notable pathogens, including '' Rickettsia'', which causes a variety of diseases in humans, and ...
. Being obligate intracellular bacteria, rickettsias depend on entry, growth, and replication within the
cytoplasm The cytoplasm describes all the material within a eukaryotic or prokaryotic cell, enclosed by the cell membrane, including the organelles and excluding the nucleus in eukaryotic cells. The material inside the nucleus of a eukaryotic cell a ...
of living
eukaryotic The eukaryotes ( ) constitute the Domain (biology), domain of Eukaryota or Eukarya, organisms whose Cell (biology), cells have a membrane-bound cell nucleus, nucleus. All animals, plants, Fungus, fungi, seaweeds, and many unicellular organisms ...
host cells (typically
endothelial The endothelium (: endothelia) is a single layer of squamous endothelial cells that line the interior surface of blood vessels and lymphatic vessels. The endothelium forms an interface between circulating blood or lymph in the lumen and the res ...
cells). Accordingly, ''Rickettsia'' species cannot grow in artificial nutrient culture; they must be grown either in tissue or
embryo An embryo ( ) is the initial stage of development for a multicellular organism. In organisms that reproduce sexually, embryonic development is the part of the life cycle that begins just after fertilization of the female egg cell by the male sp ...
cultures. Mostly chicken embryos are used, following a method developed by
Ernest William Goodpasture Ernest William Goodpasture (October 17, 1886 – September 20, 1960) was an American pathologist and physician. Goodpasture advanced the scientific understanding of the pathogenesis of infectious diseases, parasitism, and a variety of rickettsia ...
and his colleagues at
Vanderbilt University Vanderbilt University (informally Vandy or VU) is a private university, private research university in Nashville, Tennessee, United States. Founded in 1873, it was named in honor of shipping and railroad magnate Cornelius Vanderbilt, who provide ...
in the early 1930s. Many new strains or species of ''Rickettsia'' are described each year. Some ''Rickettsia'' species are pathogens of medical and veterinary interest, but many ''Rickettsia'' are non-pathogenic to vertebrates, including humans, and infect only arthropods, often non-hematophagous, such as aphids or whiteflies. Many ''Rickettsia'' species are thus arthropod-specific symbionts, but are often confused with pathogenic ''Rickettsia'' (especially in medical literature), showing that the current view in rickettsiology has a strong anthropocentric bias. Pathogenic ''Rickettsia'' species are transmitted by numerous types of
arthropod Arthropods ( ) are invertebrates in the phylum Arthropoda. They possess an arthropod exoskeleton, exoskeleton with a cuticle made of chitin, often Mineralization (biology), mineralised with calcium carbonate, a body with differentiated (Metam ...
s, including
chiggers ''Trombicula'', known as chiggers, red bugs, scrub-itch mites, or berry bugs, are small arachnids (eight-legged arthropods) in the Trombiculidae family. In their larval stage, they attach to various animals and humans, then feed on skin, often ...
,
tick Ticks are parasitic arachnids of the order Ixodida. They are part of the mite superorder Parasitiformes. Adult ticks are approximately 3 to 5 mm in length depending on age, sex, and species, but can become larger when engorged. Ticks a ...
s,
flea Flea, the common name for the order (biology), order Siphonaptera, includes 2,500 species of small flightless insects that live as external parasites of mammals and birds. Fleas live by hematophagy, ingesting the blood of their hosts. Adult f ...
s, and
lice Louse (: lice) is the common name for any member of the infraorder Phthiraptera, which contains nearly 5,000 species of wingless parasitic insects. Phthiraptera was previously recognized as an order, until a 2021 genetic study determined th ...
, and are associated with both human and plant diseases. Most notably, ''Rickettsia'' species are the pathogens responsible for
typhus Typhus, also known as typhus fever, is a group of infectious diseases that include epidemic typhus, scrub typhus, and murine typhus. Common symptoms include fever, headache, and a rash. Typically these begin one to two weeks after exposu ...
,
rickettsialpox Rickettsialpox is a mite-borne infectious illness caused by bacteria of the genus '' Rickettsia'' ('' Rickettsia akari''). Physician Robert Huebner and self-trained entomologist Charles Pomerantz played major roles in identifying the cause of ...
, boutonneuse fever, African tick-bite fever,
Rocky Mountain spotted fever Rocky Mountain spotted fever (RMSF) is a bacterial disease spread by ticks. It typically begins with a fever and headache, which is followed a few days later with the development of a rash. The rash is generally Petechial rash, made up of small s ...
, Flinders Island spotted fever, and Queensland tick typhus ( Australian tick typhus). The majority of pathogenic ''Rickettsia'' bacteria are susceptible to
antibiotic An antibiotic is a type of antimicrobial substance active against bacteria. It is the most important type of antibacterial agent for fighting pathogenic bacteria, bacterial infections, and antibiotic medications are widely used in the therapy ...
s of the
tetracycline Tetracycline, sold under various brand names, is an antibiotic in the tetracyclines family of medications, used to treat a number of infections, including acne, cholera, brucellosis, plague, malaria, and syphilis. It is available in oral an ...
group.


Classification

The classification of ''Rickettsia'' into three groups (spotted fever, typhus, and
scrub typhus Scrub typhus or bush typhus is a form of typhus caused by the intracellular parasite '' Orientia tsutsugamushi'', a Gram-negative α-proteobacterium of family Rickettsiaceae first isolated and identified in 1930 in Japan.serology Serology is the scientific study of Serum (blood), serum and other body fluids. In practice, the term usually refers to the medical diagnosis, diagnostic identification of Antibody, antibodies in the serum. Such antibodies are typically formed in r ...
. This grouping has since been confirmed by
DNA sequencing DNA sequencing is the process of determining the nucleic acid sequence – the order of nucleotides in DNA. It includes any method or technology that is used to determine the order of the four bases: adenine, thymine, cytosine, and guanine. The ...
. All three of these groups include human
pathogen In biology, a pathogen (, "suffering", "passion" and , "producer of"), in the oldest and broadest sense, is any organism or agent that can produce disease. A pathogen may also be referred to as an infectious agent, or simply a Germ theory of d ...
s. The scrub typhus group has been reclassified as a related new genus, ''
Orientia ''Orientia'' is a genus of bacteria in family Rickettsiaceae. They are obligate intracellular, gram-negative bacteria found in insects and mammals. They are spread through the bites or feces of infected insects. The genus comprises the species ...
'', but they still are in the order Rickettsiales and accordingly still are grouped with the rest of the rickettsial diseases. Rickettsias are more widespread than previously believed and are known to be associated with
arthropod Arthropods ( ) are invertebrates in the phylum Arthropoda. They possess an arthropod exoskeleton, exoskeleton with a cuticle made of chitin, often Mineralization (biology), mineralised with calcium carbonate, a body with differentiated (Metam ...
s,
leech Leeches are segmented parasitism, parasitic or Predation, predatory worms that comprise the Class (biology), subclass Hirudinea within the phylum Annelida. They are closely related to the Oligochaeta, oligochaetes, which include the earthwor ...
es, and
protist A protist ( ) or protoctist is any eukaryotic organism that is not an animal, land plant, or fungus. Protists do not form a natural group, or clade, but are a paraphyletic grouping of all descendants of the last eukaryotic common ancest ...
s. Divisions have also been identified in the spotted fever group and this group should probably be divided into two
clade In biology, a clade (), also known as a Monophyly, monophyletic group or natural group, is a group of organisms that is composed of a common ancestor and all of its descendants. Clades are the fundamental unit of cladistics, a modern approach t ...
s. . Arthropod-inhabiting rickettsiae are generally associated with reproductive manipulation (such as
parthenogenesis Parthenogenesis (; from the Greek + ) is a natural form of asexual reproduction in which the embryo develops directly from an egg without need for fertilization. In animals, parthenogenesis means the development of an embryo from an unfertiliz ...
) to persist in host lineage. In March 2010, Swedish researchers reported a case of
bacterial meningitis Meningitis is acute or chronic inflammation of the protective membranes covering the brain and spinal cord, collectively called the meninges. The most common symptoms are fever, intense headache, vomiting and neck stiffness and occasionall ...
in a woman caused by '' Rickettsia helvetica'' previously thought to be harmless.


Spotted fever group

:* ''
Rickettsia rickettsii ''Rickettsia rickettsii'' is a Gram-negative, intracellular, cocco-bacillus bacterium that was first discovered in 1902. Having a reduced genome, the bacterium harvests nutrients from its host cell to carry out respiration, making it an organo ...
'' (Western Hemisphere) ::
Rocky Mountain spotted fever Rocky Mountain spotted fever (RMSF) is a bacterial disease spread by ticks. It typically begins with a fever and headache, which is followed a few days later with the development of a rash. The rash is generally Petechial rash, made up of small s ...
:* '' Rickettsia akari'' (USA, former Soviet Union) ::
Rickettsialpox Rickettsialpox is a mite-borne infectious illness caused by bacteria of the genus '' Rickettsia'' ('' Rickettsia akari''). Physician Robert Huebner and self-trained entomologist Charles Pomerantz played major roles in identifying the cause of ...
:* '' Rickettsia conorii'' (Mediterranean countries, Africa, Southwest Asia, India) :: Boutonneuse fever :* '' Rickettsia sibirica'' (Siberia, Mongolia, northern China) :: Siberian tick typhus or North Asian tick typhus :* '' Rickettsia australis'' (Australia) :: Australian tick typhus :* '' Rickettsia felis'' (North and South America, Southern Europe, Australia) :: Flea-borne spotted fever :* '' Rickettsia japonica'' (Japan) :: Oriental spotted fever :* ''
Rickettsia africae ''Rickettsia africae'' is a species of ''Rickettsia ''Rickettsia'' is a genus of nonmotile, gram-negative, nonspore-forming, highly pleomorphic bacteria that may occur in the forms of cocci (0.1 μm in diameter), bacilli (1–4 μm long) ...
'' (South Africa) ::
African tick bite fever African tick bite fever (ATBF) is a bacterial infection spread by the bite of a tick. Symptoms may include fever, headache, muscle pain, and a rash. At the site of the bite there is typically a red skin sore with a dark center. The onset of sympto ...
:* '' Rickettsia hoogstraalii'' (Croatia, Spain and Georgia USA) :: Unknown pathogenicity


Typhus group

:* ''
Rickettsia prowazekii ''Rickettsia prowazekii'' is a species of gram-negative, obligate intracellular parasitic, aerobic bacilliform bacteria of class Alphaproteobacteria that is the etiologic agent of epidemic typhus, transmitted in the feces of lice. In North Am ...
'' (worldwide) ::
Epidemic typhus Epidemic typhus, also known as louse-borne typhus, is a form of typhus so named because the disease often causes epidemics following wars and natural disasters where civil life is disrupted. Epidemic typhus is spread to people through contact wit ...
, recrudescent typhus, and sporadic typhus :* ''
Rickettsia typhi ''Rickettsia typhi'' is a small, Aerobic organism, aerobic, obligate intracellular, rod shaped Gram-negative bacteria, gram negative bacterium. It belongs to the typhus group of the ''Rickettsia'' genus, along with Rickettsia prowazekii, ''R. prowa ...
'' (worldwide) ::
Murine typhus Murine typhus, also known as endemic typhus or flea-borne typhus, is a form of typhus caused by ''Rickettsia typhi'' transmitted by fleas (''Xenopsylla cheopis''), usually on rats, in contrast to epidemic typhus which is usually transmitted by lic ...
(endemic typhus)


Scrub typhus group

:* The causative agent of
scrub typhus Scrub typhus or bush typhus is a form of typhus caused by the intracellular parasite '' Orientia tsutsugamushi'', a Gram-negative α-proteobacterium of family Rickettsiaceae first isolated and identified in 1930 in Japan.Orientia ''Orientia'' is a genus of bacteria in family Rickettsiaceae. They are obligate intracellular, gram-negative bacteria found in insects and mammals. They are spread through the bites or feces of infected insects. The genus comprises the species ...
''.


Flora and fauna pathogenesis

Plant diseases have been associated with these ''Rickettsia''-like organisms (RLOs): :* Beet latent rosette RLO :* Citrus greening bacterium possibly this
citrus greening disease Citrus greening disease ( abbr. HLB) is a disease of citrus caused by a vector-transmitted pathogen. The causative agents are motile bacteria, '' Liberibacter'' spp. The disease is transmitted by the Asian citrus psyllid, '' Diaphorina citri'', ...
:* Clover leaf RLO :* Grapevine infectious necrosis RLO :* Grapevine Pierce's RLO :* Grapevine yellows RLO :*
Witch's broom Witch's broom or witches' broom is a deformity in a woody plant, typically a tree, where the natural structure of the plant is changed. A dense mass of shoots grows from a single point, with the resulting structure resembling a broom or a bi ...
disease on ''
Larix Larches are deciduous conifers in the genus ''Larix'', of the family Pinaceae (subfamily Laricoideae). Growing from tall, they are native to the cooler regions of the northern hemisphere, where they are found in lowland forests in the high la ...
'' spp. :* Peach phony RLO :* Papaya Bunchy Top Disease Infection occurs in nonhuman mammals; for example, species of ''Rickettsia'' have been found to afflict the
South American South America is a continent entirely in the Western Hemisphere and mostly in the Southern Hemisphere, with a considerably smaller portion in the Northern Hemisphere. It can also be described as the southern Subregion#Americas, subregion o ...
guanaco The guanaco ( ; ''Lama guanicoe'') is a camelid native to South America, closely related to the llama. Guanacos are one of two wild South American camelids; the other species is the vicuña, which lives at higher elevations. Etymology The gua ...
, ''Lama guanacoe'' potentially marsupials and reptiles.


Pathophysiology

Rickettsial organisms are obligate intracellular parasites and invade
vascular Vascular can refer to: * blood vessels, the vascular system in animals * vascular tissue Vascular tissue is a complex transporting tissue, formed of more than one cell type, found in vascular plants. The primary components of vascular tissue ...
endothelial The endothelium (: endothelia) is a single layer of squamous endothelial cells that line the interior surface of blood vessels and lymphatic vessels. The endothelium forms an interface between circulating blood or lymph in the lumen and the res ...
cells in target organs, damaging them and producing increased
vascular permeability Vascular permeability, often in the form of capillary permeability or microvascular permeability, characterizes the permeability of a blood vessel wall–in other words, the blood vessel wall's capacity to allow for the flow of small molecules ( ...
with consequent
oedema Edema (American English), also spelled oedema (British English), and also known as fluid retention, swelling, dropsy and hydropsy, is the build-up of fluid in the body's tissue. Most commonly, the legs or arms are affected. Symptoms may inclu ...
,
hypotension Hypotension, also known as low blood pressure, is a cardiovascular condition characterized by abnormally reduced blood pressure. Blood pressure is the force of blood pushing against the walls of the arteries as the heart pumps out blood and is ...
, and hypoalbuminaemia.


Genomics

Certain segments of rickettsial
genome A genome is all the genetic information of an organism. It consists of nucleotide sequences of DNA (or RNA in RNA viruses). The nuclear genome includes protein-coding genes and non-coding genes, other functional regions of the genome such as ...
s resemble those of
mitochondria A mitochondrion () is an organelle found in the cells of most eukaryotes, such as animals, plants and fungi. Mitochondria have a double membrane structure and use aerobic respiration to generate adenosine triphosphate (ATP), which is us ...
. The deciphered genome of ''R. prowazekii'' is 1,111,523 bp long and contains 834
genes In biology, the word gene has two meanings. The Mendelian gene is a basic unit of heredity. The molecular gene is a sequence of nucleotides in DNA that is transcribed to produce a functional RNA. There are two types of molecular genes: protei ...
. Unlike free-living bacteria, it contains no genes for
anaerobic Anaerobic means "living, active, occurring, or existing in the absence of free oxygen", as opposed to aerobic which means "living, active, or occurring only in the presence of oxygen." Anaerobic may also refer to: *Adhesive#Anaerobic, Anaerobic ad ...
glycolysis Glycolysis is the metabolic pathway that converts glucose () into pyruvic acid, pyruvate and, in most organisms, occurs in the liquid part of cells (the cytosol). The Thermodynamic free energy, free energy released in this process is used to form ...
or genes involved in the biosynthesis and regulation of
amino acid Amino acids are organic compounds that contain both amino and carboxylic acid functional groups. Although over 500 amino acids exist in nature, by far the most important are the 22 α-amino acids incorporated into proteins. Only these 22 a ...
s and
nucleoside Nucleosides are glycosylamines that can be thought of as nucleotides without a phosphate group. A nucleoside consists simply of a nucleobase (also termed a nitrogenous base) and a five-carbon sugar (ribose or 2'-deoxyribose) whereas a nucleotid ...
s. In this regard, it is similar to mitochondrial genomes; in both cases, nuclear (host) resources are used. ATP production in ''Rickettsia'' is the same as that in mitochondria. In fact, of all the microbes known, the ''Rickettsia'' is probably the closest relative (in a
phylogenetic In biology, phylogenetics () is the study of the evolutionary history of life using observable characteristics of organisms (or genes), which is known as phylogenetic inference. It infers the relationship among organisms based on empirical dat ...
sense) to the mitochondria. Unlike the latter, the genome of ''R. prowazekii'', however, contains a complete set of genes encoding for the
tricarboxylic acid cycle The citric acid cycle—also known as the Krebs cycle, Szent–Györgyi–Krebs cycle, or TCA cycle (tricarboxylic acid cycle)—is a series of biochemical reactions that release the energy stored in nutrients through acetyl-CoA oxidation. The e ...
and the
respiratory chain An electron transport chain (ETC) is a series of protein complexes and other molecules which transfer electrons from electron donors to electron acceptors via redox reactions (both reduction and oxidation occurring simultaneously) and couples this ...
complex. Still, the genomes of the ''Rickettsia'', as well as the mitochondria, are frequently said to be "small, highly derived products of several types of reductive evolution". The recent discovery of another parallel between ''Rickettsia'' and viruses may become a basis for fighting
HIV The human immunodeficiency viruses (HIV) are two species of '' Lentivirus'' (a subgroup of retrovirus) that infect humans. Over time, they cause acquired immunodeficiency syndrome (AIDS), a condition in which progressive failure of the im ...
infection. Human immune response to the
scrub typhus Scrub typhus or bush typhus is a form of typhus caused by the intracellular parasite '' Orientia tsutsugamushi'', a Gram-negative α-proteobacterium of family Rickettsiaceae first isolated and identified in 1930 in Japan.Orientia tsutsugamushi ''Orientia'' is a genus of bacteria in family Rickettsiaceae. They are obligate intracellular, gram-negative Gram-negative bacteria are bacteria that, unlike gram-positive bacteria, do not retain the crystal violet stain used in the Gr ...
'', appears to provide a beneficial effect against HIV infection progress, negatively influencing the virus replication process. A probable reason for this actively studied phenomenon is a certain degree of homology between the rickettsiae and the virus, namely, common
epitope An epitope, also known as antigenic determinant, is the part of an antigen that is recognized by the immune system, specifically by antibodies, B cells, or T cells. The part of an antibody that binds to the epitope is called a paratope. Although e ...
(s) due to common genome fragment(s) in both pathogens. Surprisingly, the other infection reported to be likely to provide the same effect (decrease in viral load) is the virus-caused illness
dengue fever Dengue fever is a mosquito-borne disease caused by dengue virus, prevalent in tropical and subtropical areas. Asymptomatic infections are uncommon, mild cases happen frequently; if symptoms appear, they typically begin 3 to 14 days after i ...
. Comparative analysis of genomic sequences have also identified five
conserved signature indels Conserved signature inserts and deletions (CSIs) in protein sequences provide an important category of molecular markers for understanding phylogenetic relationships. CSIs, brought about by rare genetic changes, provide useful phylogenetic markers ...
in important proteins, which are uniquely found in members of the genus ''Rickettsia''. These indels consist of a four-amino-acid insertion in
transcription repair coupling factor Mutation Frequency Decline (''mfd'') is the gene which encodes the protein Mfd (also known as Transcription Repair Coupling Factor, TRCF). Mfd functions in transcription-coupled repair to remove a stalled RNA polymerase that has encountered DNA dam ...
Mfd, a 10-amino-acid insertion in ribosomal protein L19, a one-amino-acid insertion in
FtsZ FtsZ is a protein encoded by the ''ftsZ'' gene that assembles into a ring at the future site of bacterial cell division (also called the Z ring). FtsZ is a prokaryotic homologue of the eukaryotic protein tubulin. The initials FtsZ mean "Filame ...
, a one-amino-acid insertion in major
sigma factor A sigma factor (σ factor or specificity factor) is a protein needed for initiation of Transcription (biology), transcription in bacteria. It is a bacterial transcription initiation factor that enables specific binding of RNA polymerase (RNAP) to g ...
70, and a one-amino-acid deletion in
exonuclease VII The enzyme exodeoxyribonuclease VII (EC 3.1.11.6, ''Escherichia coli'' exonuclease VII, ''E. coli'' exonuclease VII, endodeoxyribonuclease VII, exodeoxyribonuclease VII) is a bacterial exonuclease enzyme. It is composed of two nonidentical subun ...
. These indels are all characteristic of the genus and serve as molecular markers for ''Rickettsia''.
Bacterial small RNA Bacterial small RNAs are small RNAs produced by bacteria; they are 50- to 500-nucleotide non-coding RNA molecules, highly structured and containing several stem-loops. Numerous sRNAs have been identified using both computational analysis and laborat ...
s play critical roles in virulence and stress/adaptation responses. Although their specific functions have not been discovered in ''Rickettsia'', few studies showed the expression of novel sRNA in human microvascular
endothelial cells The endothelium (: endothelia) is a single layer of squamous endothelial cells that line the interior surface of blood vessels and lymphatic vessels. The endothelium forms an interface between circulating blood or lymph in the lumen and the res ...
(HMEC) infected with ''Rickettsia''. Genomes of intracellular or parasitic bacteria undergo massive reduction compared to their free-living relatives. Examples include Rickettsia for alpha proteobacteria, T. whipplei for Actinobacteria, Mycoplasma for Firmicutes (the low G+C content Gram-positive), and Wigglesworthia and Buchnera for gamma proteobacteria.


Naming

The genus ''Rickettsia'' is named after Howard Taylor Ricketts (1871–1910), who studied Rocky Mountain spotted fever in the
Bitterroot Valley The Bitterroot Valley is located in southwestern Montana, along the Bitterroot River between the Bitterroot Range and Sapphire Mountains, in the Northwestern United States. Geography The valley extends approximately from Lost Trail Pass in I ...
of Montana, and eventually died of typhus after studying that disease in Mexico City. In his early part of career, he undertook research at Northwestern University on blastomycosis. He later worked on Rocky Mountain spotted fever at the University of Chicago and Bitterroot Valley of Montana. He was so devoted to his research that on several occasions, he injected himself with pathogens to study their effects. On account of the apparent similarity between Rocky Mountain fever and typhus fever, he became occupied in investigating the latter in Chicago where the disease was epidemic, and became a victim of the epidemic in 1910. His investigations and discoveries added materially to the sum of medical knowledge.


References


External links


Rickettsia
genomes and related information a
PATRIC
a Bioinformatics Resource Center funded b
NIAID


from th
Centers for Disease Control and Prevention
{{Authority control Rickettsiaceae Bacteria genera Pathogenic bacteria