Review

Nature Reviews Microbiology 6, 375-386 (May 2008) | doi:10.1038/nrmicro1866

Emerging and re-emerging rickettsioses: endothelial cell infection and early disease events

David H. Walker1 & Nahed Ismail1  About the authors

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Rickettsiae cause some of the most severe human infections, including epidemic typhus and Rocky Mountain spotted fever. Substantial progress has been made in research into the genomics, vector relationships, pathogenesis and immunity of these obligate, intracellular, arthropod-transmitted bacteria. This Review summarizes our understanding of the early and late events in pathogenesis and immunity, modulation of the host response to rickettsial infection by the vector, host defence, virulence mechanisms and rickettsial manipulation of host cells.

Author affiliations

  1. Department of Pathology, University of Texas, Medical Branch, Galveston, 77555-0609 Texas, USA.

Correspondence to: David H. Walker1 Email: dwalker@utmb.edu

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