Surveillance for Spotted Fever Group Rickettsial Infections: Problems, Pitfalls, and Potential Solutions

DICON founder Dr. Dan Sexton provided editorial commentary for The Journal of Infectious Diseases that can be read in full here

"Even experienced physicians and epidemiologists have difficulty consistently and accurately confirming or excluding a diagnosis of spotted fever group rickettsioses (SFGR). As a result, both underdiagnosis and overdiagnosis of SFGR are unresolved clinical and epidemiologic problems. The report by Straily et al in this issue of The Journal of Infectious Diseases sheds light on the pitfalls of using a single serologic assay to diagnose or classify a case of SFGR. Their findings underscore the conclusion that rickettsial diagnostics are in dire need of modern technological advancement and that current methods for surveillance are equally in need of a major overhaul."