Digital Commons Network^™

Intracellular Signaling Molecules Activated By Epstein-Barr Virus For Induction Of Interferon Regulatory Factor 7, Luwen Zhang, Lihong Wu, Ke Hong, Joseph S. Pagano

Nebraska Center for Virology: Faculty Publications

Epstein-Barr virus (EBV) latent membrane protein 1 (LMP-1) is the principal oncogenic protein in the EBV transformation process. LMP-1 induces the expression of interferon regulatory factor 7 (IRF-7) and activates IRF-7 protein by phosphorylation and nuclear translocation. LMP-1 is an integral membrane protein with two regions in its C terminus that initiate signaling processes, the C-terminal activator regions 1 (CTAR-1) and CTAR-2. Here, genetic analysis of LMP-1 has determined that the PXQXT motif that governs the interaction between LMP-1 CTAR-1 and tumor necrosis factor receptor-associated factors (TRAFs) is needed to induce the expression of IRF-7. Mutations in the PXQXT motif …

Morphological And Molecular Description Of Haematoloechus Meridionalis N. Sp. (Digenea: Plagiorchioidea: Haematoloechidae) From Rana Vaillanti Brocchi Of Guanacaste, Costa Rica, Virginia León-Règagnon, Daniel R. Brooks, Derek A. Zelmer

Harold W. Manter Laboratory of Parasitology: Faculty Publications

An undescribed species of Haematoloechus inhabits the lungs of Rana vaillanti in northwestern Costa Rica. The new species is most similar morphologically to H. medioplexus, having a very small, but well-developed, ventral sucker and lacking extracecal uterine loops, and apparently was misidentified previously as H. medioplexus in Rana palmipes from Colombia. It differs from H. medioplexus, notably by (1) the shape of the oral sucker, which is elliptical in H. meridionalis and spherical in H. medioplexus; (2) the posterior extent of the vitelline fields, which terminate at the same level in H. medioplexus, but always at …

Scwds Briefs: Volume 17, Number 3 (October 2001)

Southeastern Cooperative Wildlife Disease Study: Publications

• Biosecurity Alert
• The United Kingdom appears to be near success in eradicating foot-and-mouth disease (FMD).
• USDA declares chronic wasting disease CWD emergency in captive elk.
• CWD Calamity in Colorado: Approximately 1,300 animals in seven Colorado captive elk herds currently are under quarantine because chronic wasting disease (CWD) has been diagnosed in or traced to the herds.
• Further Spread of West Nile virus (WNV)
• Eastern Equine Encephalitis (EEE) virus was isolated from the brain of a wild white-tailed deer from Houston County, Georgia. Togaviridae, Culiseta melanura
• Equine protozoal myeloencephalitis (EPM) is a severe neurological …

Physid Snails As Sentinels Of Freshwater Nematomorphs, Ben Hanelt, L. E. Grother, John J. Janovy Jr.

John J. Janovy, Jr. Publications

Freshwater nematomorphs, or gordiids, are parasitic as larvae, but free-living in aquatic environments as adults. Studies based on the collection of adults have reported gordiids to be widespread, but discontinuous in distribution. However, a relatively short adult life span and unknown life history make the detection of adults difficult. An alternative approach to investigate gordiid distribution is to use cysts. Of all paratenic hosts, snails were chosen because they lacked internal defense reactions to the cysts and become easily infected. Here, it is reported that the occurrence of gordiids on the basis of the cyst stage is much more common …

Epimerite-Host Epithelium Relationships Among Eugregarines Parasitizing The Damselflies Enallagma Civile And Ischnura Verticalis, Tamara J. Percival Cook, John J. Janovy Jr., Richard E. Clopton

John J. Janovy, Jr. Publications

The host-parasite interface between two species of damselflies and four species of eugregarines was examined at the ultrastructural level. Nubenocephalus nebraskensis organisms attached to the host midgut epithelium by means of a sucker-like protomerite; the space between the epicytic folds and host epithelium was filled with electron-dense material interpreted to be adhesive in nature. Actinocephalus carrilynnae organisms attached by means of the epimerite, which had no epicytic folds, and by the fluted stalk with characteristic epicytic folds; host cell and parasite membranes appeared fused at some places on the epimerite. Hoplorhynchus acanthatholius organisms attached by means of an ovoid epimerite …

Description Of Buckarootrema Goodmani N. G., N. Sp. (Digenea: Pronocephalidae), A Parasite Of The Freshwater Turtle Emydura Macquarii (Gray, 1830) (Pleurodira: Chelidae) From Queensland, Australia, And A Phylogenetic Analysis Of The Genera Of The Pronocephalidae Looss, 1902, Thomas R. Platt, Daniel R. Brooks

Harold W. Manter Laboratory of Parasitology: Faculty Publications

Buckarootrema goodmani n. g., n. sp. is described from the small intestine of the Murray turtle, Emydura macquarii (Gray, 1830), from the vicinity of Warwick, Queensland, Australia. The distinctive taxonomic features include the vitellarium, which consists of two compact masses directly anterior to and occasionally overlapping the testes; the uterus with extensive pre- and postovarian coils; intestinal ceca with small, medial diverticula that terminate anterior to or at the anterior margin of the testes; a comma-shaped cirrus sac with both internal and external seminal vesicles. Phylogenetic systematic analysis of the genera of the Pronocephalidae including Buckarootrema and Notopronocephalus, …

The Probe, Issue 218 – September/October 2001

The Probe: Newsletter of the National Animal Damage Control Association

Regional Directors Address NADCA's Future -- Chad Richardson & Sam Linhart
South Carolina State Supreme Court unanimously ruled that the South Carolina Department of Natural Resources was justified in issuing permits to kill 200 deer in an effort to control the white-tailed deer population of the Sea Pines Plantation (SPP) on Hilton Head Island.
The Animal Liberation Front (ALF) is claiming credit for a September 9 firebombing at a Tucson, Arizona, McDonald's restaurant.
Biologists from the Kentucky Department of Fish and Wildlife Resources (DFWR) have begun using "hair traps" to get an estimate of the state's black bear population.
A …

Mononuclear Phagocyte Differentiation, Activation, And Viral Infection Regulate Matrix Metalloproteinase Expression: Implications For Human Immunodeficiency Virus Type 1-Associated Dementia, Anuja Ghorpade, Raisa Persidskaia, Radhika Suryadevara, Myhanh Che, Xiao Juan Liu, Yuri Persidsky, Howard Gendelman

Nebraska Center for Virology: Faculty Publications

The pathogenesis of human immunodeficiency virus type 1 (HIV-1)-associated dementia (HAD) is mediated mainly by mononuclear phagocyte (MP) secretory products and their interactions with neural cells. Viral infection and MP immune activation may affect leukocyte entry into the brain. One factor that influences central nervous system (CNS) monocyte migration is matrix metalloproteinases (MMPs). In the CNS, MMPs are synthesized by resident glial cells and affect the integrity of the neuropil extracellular matrix (ECM). To ascertain how MMPs influence HAD pathogenesis, we studied their secretion following MP differentiation, viral infection, and cellular activation. HIV-1-infected and/or immune-activated monocyte-derived macrophages (MDM) and human …

American Society Of Parasitologists Newsletter, V. 23, No. 2, August 2001, Scott Lyell Gardner

American Society of Parasitologists: Newsletter

An issue of the American Society of Parasitologists' quarterly newsletter, also called the Journal of Parasitology Newsletter.

The Response Of Gregarina Niphandrodes (Apicomplexa: Eugregarinida: Septatina) To Host Starvation In Tenebrio Molitor (Coleoptera: Tenebrionidae) Adults, Jennifer E. Schawang, John J. Janovy Jr.

John J. Janovy, Jr. Publications

Numerous studies of host starvation have emphasized pathological effects of parasites on their insect host, but little attention has been focused on the effects of host starvation on the parasites. This study addressed the possibility that parasite life-cycle events could be manipulated by withholding food from the host. The system used was Gregarina niphandrodes (Apicomplexa: Eugregarinida) in Tenebrio molitor (Coleoptera: Tenebrionidae) adults. Gregarine gametocyst formation and shedding ceased after one day in starved beetles but continued in fed controls. There were no statistically significant differences between total lengths of associated (3 of 5 trials) or unassociated (5 of 5 trials) …

Anindobothrium N. Gen. (Eucestoda: Tetraphyllidea) Inhabiting Marine And Freshwater Potamotrygonid Stingrays, Fernando P.L. Marques, Daniel R. Brooks, Carlos A. Lasso

Harold W. Manter Laboratory of Parasitology: Faculty Publications

Anindobothrium n. gen. is proposed to accommodate Caulobothrium anacolum inhabiting Himantura schmardae from Colombia, and two new species, one inhabiting Potamotrygon orbigny in Brazil and the other inhabiting Paratrygon aereiba in Venezuela. Members of the new genus resemble members of Pararhinebothroides, Rhinebothroides, and Anthocephalum by having bothridia with poorly differentiated apical suckers and vasa deferentia expanded into external seminal vesicles. It further resembles Pararhinebothroides, Rhinebothroides, and Anthocephalum cairae by having vas deferens inserted near the poral rather than aporal end of the cirrus sac. The 3 species assigned to the new genus form an apparent monophyletic …

Territorial Defense By Coyotes (Canis Latrans) In Yellowstone National Park, Wyoming: Who, How, Where, When, And Why, Eric M. Gese

United States Department of Agriculture Wildlife Services: Staff Publications

Territorial defense and maintenance are an important facet of the social ecology of most carnivore species. From January 1991 to June 1993, we observed 54 coyotes (Canis latrans) for 2507 h in Yellowstone National Park, Wyoming, during which we observed 112 instances of territory defense. The identity of the coyotes involved in challenging and evicting intruding animals was known. Alpha coyotes were most likely to be involved in territorial evictions of intruding animals, followed by beta individuals; pups participated little in territory defense. Coyotes evicting intruders generally had a numerical advantage when challenging the intruders. Territory-defense rates were …

Parasite Systematics In The 21st Century: Opportunities And Obstacles, Daniel R. Brooks, Eric P. Hoberg

Harold W. Manter Laboratory of Parasitology: Faculty Publications

Taxonomic names and phylogenetic hypotheses are indispensable tools for modern biological research, both basic and applied. Like all disciplines, parasitology suffers from the ‘taxonomic impediment’ – a global shortage of professional taxonomists and systematists. Only a fraction of the species of parasites on this planet have been identified, and the evolutionary relationships of only a minority of those are understood; thus, information on how to manage parasite biodiversity, including known and potential disease agents, is incomplete. A renewal of systematic parasitology has a key role in redefining the relationship between mankind and the organisms whose biology fascinates us so much.

Vexillata Liomyos N. Sp. (Nemata: Ornithostrongylidae) From Liomys Pictus (Rodentia: Heteromyidae) From Mexico, With Comments On The Synlophe Of Vexillata Armandae, Jorge Falcon-Ordaz, Scott Lyell Gardner, Gerardo Perez-Ponce De Leon

Harold W. Manter Laboratory of Parasitology: Faculty Publications

Individuals of a new species of Vexillata were collected from the small intestines of Liomys pictus from the Estacio´n de Biologı´a Chamela, in Jalisco State, Mexico. The new species shows an array of characters that allow us to recognize it as a member of Vexillata; however, it can be distinguished from other species of the genus in that males possess an asymmetrical caudal bursa, females possess a characteristic cuticular inflation at the level of the ovijector, and both sexes possess a synlophe with 9 ridges at the midbody. Additional detail of the synlophe of Vexillata armandae Gardner et al., …

Persistent Fontanelles In Rodent Skulls, Scott Lyell Gardner, Sydney Anderson

Harold W. Manter Laboratory of Parasitology: Faculty Publications

Persistent fenestrae occur between frontal or parietal bones in skulls of various rodents, especially species of Andinomys and Ctenomys. The frequency of occurrence and the shape and position of the fenestrae may vary with age or among individuals, populations, and species. Different families and species from both high and low elevations exhibit fenestrae. They have arisen in several different evolutionary lineages. Genetic factors contribute, but no clear functional significance of the fenestrae has been established.

Evidence For Two Mechanisms Of Amino Acid Osmolyte Release From Hippocampal Slices, R. Franco, M. E. Torres-Marquez, H. Pasantes-Morales

School of Veterinary and Biomedical Sciences: Faculty Publications

A 30% decrease in osmolarity stimulated ³H-taurine, ³H-GABA and glutamate (followed as ³H-D-aspartate) efflux from rat hippocampal slices. ³H-taurine efflux was activated rapidly but inactivated slowly. It was decreased markedly by 100 μM 5-nitro-(3-phenylpropylamino) benzoic acid (NPPB) and 600 μM niflumic acid and inhibited strongly by tyrphostins AG18, AG879 and AG112 (25–100 μM), suggesting a tyrosine kinase-mediated mechanism. Hyposmolarity activated the mitogen-activated protein kinases (MAPK) extracellular-signal-related kinase-1/2 (ERK1/ERK2) and p38, but blockade of this reaction did not affect ³H-taurine efflux. Hyposmosis also activated phosphatidyl-inositide 3-kinase (PI3K) and its prevention by wortmannin (100 nM) essentially abolished …

American Society Of Parasitologists Newsletter, V. 23, No. 1, January 2001, Scott Lyell Gardner

American Society of Parasitologists: Newsletter

An issue of the American Society of Parasitologists' quarterly newsletter, also called the Journal of Parasitology Newsletter.

Nebline, April 2001

NEBLINE Newsletter Archive from Nebraska Extension in Lancaster County

Human Diseases and Wildlife: Implications for Nebraska
Plant a Tree
Mom’s Day Garden
Annual Vines in the Landscape
What day is Arbor Day?
Summer Patch of Turfgrass
Horticulture information center
Termite Workshop on May 22
Household Hazardous Waste Collections for 2001
Safely Clean up After Rodents
Cans for Books
Test Soils for Nitrates; Adjust Application Rate Accordingly
Reduce Nitrogen and Maintain Yields; Multi-plot Research Results Show the Thresholds
Graze Conservatively Following Drought Year
Farm Labor
Diazinon Phase-Out Beginning
Lincoln Iris Society
Aerate Lawn to Improve Air Flow
How to Drive a Staple
Composting Workshops and Demonstrations for 2001
Anderson’s Post …

Disease Emergence In Birds: Challenges For The Twenty-First Century, Milton Friend, Robert G. Mclean, F. Joshua Dein

United States Department of Agriculture Wildlife Services: Staff Publications

Finch (Carpodacus mexicanus) conjunctivitis is an example of the rapid geographic spread that can result from disease emergence in naive populations. That event was neither novel nor transient relative to its occurrence or effects. Disease emergence and reemergence are hallmarks of the latter part of the twentieth century (Center for Disease Control 1994, Levins et al. 1994, DaSilva and Laccarino 1999, Gratz 1999). Current examples involving domestic animals include the problems in Europe with bovine spongiform encephalopathy (BSE, or ‘‘mad cow disease’’) (Brown 2001) and foot-and-mouth disease (FMD) (Kitching 1999). Human health has been affected by diseases caused …

Evolution In The Information Age: Rediscovering The Nature Of The Organism, Daniel R. Brooks

Harold W. Manter Laboratory of Parasitology: Faculty Publications

The newest synthesis of evolutionary thought is emerging, and promises to return evolutionary biology to Darwin’s panoramic view of life. The key element is a long-standing dualism in evolutionary theory. This dualism has a long history within evolutionary biology, being manifested under guises such as: (1) the nature of the organism and the nature of the conditions, (2) internal and external, or intrinsic and extrinsic, factors, (3) production and exchanges, (4) boundary and initial conditions, (5) metabolism and replication, (6) energy and information, and (7) costs and benefits, and conflict and resolution. A partially retrospective review suggests that there is …

Characterization Of The Laminated Layer Of In Vitro Cultivated Echinococcus Vogeli Metacestodes, Katrin Ingold, Wenjuan Dai, Robert L. Rausch, Bruno Gottstein, Andrew Hemphill

Harold W. Manter Laboratory of Parasitology: Faculty Publications

The metacestode (larval) stages of the cestode parasites Echinococcus vogeli and E. multilocularis were isolated from the peritoneal cavity of experimentally infected C57BL/6 mice and were cultured in vitro for a period of up to four months under conditions normally applied for the in vitro cultivation of E. multilocularis metacestodes. In contrast to E. multilocularis, E. vogeli did not exhibit extensive exogenous budding and proliferation but increased in size with a final diameter of up to 10 mm. Most metacestodes contained protoscoleces, singly or in groups, either associated with brood capsules or growing directly out of the germinal layer. …

Escherichia Coli O157:H7 In Free-Ranging Deer In Nebraska, David G. Renter, Jan M. Sargeant, Scott E. Hygnstrom, Jeff D. Hoffmann, Jerry R. Gillespie

School of Natural Resources: Faculty Publications

In order to determine the prevalence and distribution of the human pathogen, Escherichia coli O157:H7, in free-ranging deer, hunters were asked to collect and submit fecal samples from deer harvested during a regular firearm season (14–22 November 1998). Prior to the season, 47% of the hunters with permits in the southeastern Nebraska (USA) study area indicated a willingness to participate in the study. Approximately 25% of successful hunters in the area submitted deer fecal samples. Escherichia coli O157:H7 was cultured from four (0.25%) of 1,608 total samples submitted. All of the fecal samples that were properly identified (1,426) and all …

Multistage Multiantigen Heterologous Prime Boost Vaccine For Plasmodium Knowlesi Malaria Provides Partial Protection In Rhesus Macaques, William O. Rogers, J. Kevin Baird, Anita Kumar, John A. Tine, Walter Weiss, João C. Aguiar, Kalpana Gowda, Robert Gwadz, Sanjai Kumar, Mark Gold, Stephen L. Hoffman

United States Navy: Publications

A nonhuman primate model for malaria vaccine development allowing reliable, stringent sporozoite challenge and evaluation of both cellular and antibody responses is needed. We therefore constructed a multicomponent, multistage DNA vaccine for the simian malaria species Plasmodium knowlesi including two preerythrocytic- stage antigens, the circumsporozoite protein (PkCSP) and sporozoite surface protein 2 (PkSSP2), and two blood stage antigens, apical merozoite antigen 1 (PkAMA1) and merozoite surface protein 1 (PkMSP1p42), as well as recombinant canarypox viruses encoding the four antigens (ALVAC-4). The DNA vaccine plasmids expressed the corresponding antigens in vitro and induced antiparasite antibodies in mice. Groups of four rhesus …

Evidence For Different Mechanisms Of Chloroquine Resistance In 2 Plasmodium Species That Cause Human Malaria, Takashi Nomura, Jane M-R. Carlton, J. Kevin Baird, Hernando A. Del Portillo, David J. Fryauff, Dharmendar Rathore, David A. Fidock, Xin-Zhuan Su, William E. Collins, Thomas F. Mccutchan, John C. Wootton, Thomas E. Wellems

United States Navy: Publications

Chloroquine (CQ)–resistant Plasmodium vivax malaria was first reported 12 years ago, nearly 30 years after the recognition of CQ-resistant P. falciparum. Loss of CQ efficacy now poses a severe problem for the prevention and treatment of both diseases. Mutations in a digestive vacuole protein encoded by a 13-exon gene, pfcrt, were shown recently to have a central role in the CQ resistance (CQR) of P. falciparum. Whether mutations in pfcrt orthologues of other Plasmodium species are involved in CQR remains an open question. This report describes pfcrt homologues from P. vivax, P. knowlesi, P. berghei, and …

Randomized, Parallel Placebo-Controlled Trial Of Primaquine For Malaria Prophylaxis In Papua, Indonesia, J. Kevin Baird, Mark D. Lacy, Hasan Basri, Mazie J. Barcus, Jason D. Maguire, Michael J. Bangs, Robert Gramzinski, Priyanto Sismadi, Krisin, Judith Ling, Iwa Wiady, Marti Kusumaningsih, Trevor R. Jones, David J. Fryauff, Stephen L. Hoffman, U.S. Naval Medical Research Unit # 2 Clinical Trials Team

United States Navy: Publications

Malaria causes illness or death in unprotected travelers. Primaquine prevents malaria by attacking liver-stage parasites, a property distinguishing it from most chemoprophylactics and obviating 4-week postexposure dosing. A daily adult regimen of 30 mg primaquine prevented malaria caused by Plasmodium falciparum and P. vivax for 20 weeks in 95 of 97 glucose-6-phosphate dehydrogenase (G6PD)–normal Javanese transmigrants in Papua, Indonesia. In comparison, 37 of 149 subjects taking placebo in a parallel trial became parasitemic. The protective efficacy of primaquine against malaria was 93% (95% confidence interval [CI] 71%–98%); against P. falciparum it was 88% (95% CI 48%–97%), and 192% for P. …

Carbon Sequestration, Greenhouse Gas Emissions, And Nebraska Agriculture – Background And Potential

University of Nebraska Public Policy Center: Publications

Scientists believe that rising levels of carbon dioxide and other greenhouse gases are contributing to global warming, although to what extent is difficult to determine. While limiting fossil fuel consumption is one method of reducing emissions of carbon to the atmosphere, another is sequestering carbon sources on the land. Carbon sequestration is the use of practices, technologies, or other measures that increase the retention of carbon in soil, vegetation, geologic formations, or the oceans with the effect of offsetting carbon dioxide emissions from other sources.

Nebraska’s agricultural producers can help address greenhouse gas concerns by implementing practices that cause the …

Whipple's Disease And Tropheryma Whippelii: Secrets Slowly Revealed, Matthias Maiwald, David A. Relman

United States Department of Veterans Affairs: Publications

Whipple's disease was described in 1907 and was designated "intestinal lipodystrophy,"despite the detection of bacteria in 1 specimen. This finding was later substantiated by the success of antibiotic therapy, which resulted in dramatic clinical responses, and by use of electron microscopy, which detected monomorphic bacilli in affected tissues. Many attempts at culture failed, and these bacteria were characterized as actinomycetes for the first time by means of broad-range 16S rDNA amplification and molecular phylogenetic methods. The name "Tropherymaw hippelii" was proposed for this bacterium. Whipple's disease is a systemic disease that affects many organ systems, producing protean manifestations. …

Infections With Ehrlichia Chaffeensis And Ehrlichia Ewingii In Persons Coinfected With Human Immunodeficiency Virus, Christopher D. Paddock, Scott M. Folk, G. Merrill Shore, Linda J. Machado, Mark M. Huycke, Leonard N. Slater, Allison M. Liddell, Richard S. Buller, Gregory A. Storch, Thomas P. Monson, David Rimland, John W. Sumner, Joseph Singleton, Karen C. Bloch, Yi-Wei Tang, Steven M. Standaert, James E. Childs

Zoonotics and Wildlife Disease: Publications

The clinical course and laboratory valuation of 21 patients coinfected with human immunodeficiency virus (HIV) and Ehrlichia chaffeensis or Ehrlichia ewingii are reviewed and summarized, including 13 cases of ehrlichiosis caused by E. chaffeensis, 4 caused by E. ewingii, and 4 caused by either E. chaffeensis or E. ewingii. Twenty patients were male, and the median CD4⁺ T lymphocyte count was 137 cells/μL. Exposures to infecting ticks were linked to recreational pursuits, occupations, and peridomestic activities. For 8 patients, a diagnosis of ehrlichiosis was not considered until ≥4 days after presentation. Severe manifestations occurred more frequently …

Prospective Assesment Of The Etiology Of Acute Febrile Illness After A Tick Bite In Slovenia, Stanka Lotric-Furlan, Miroslav Petrovec, Tatjana Avsic-Zupanc, William L. Nicholson, John W. Sumner, James E. Childs, Franc Strle

Zoonotics and Wildlife Disease: Publications

A prospective study established the etiology of febrile illnesses in residents of Slovenia that occurred within 6 weeks after a tick bite. A combination of laboratory and clinical criteria identified 64 (49.2%) of 130 patients as having confirmed, probable, or possible cases of tickborne disease during 1995 and 1996. Of the 130 patients, 36 (27.7%) had laboratory evidence of tickborne encephalitis, all of whom had clinically confirmed disease. Evidence of infection with Borreliab urgdorfersie sensu lato was identified in 26 patients; 10 (7.7%) had confirmed Lyme borreliosis. Of 22 patients with evidence of Ehrlichiap hagocytophila infection, 4 (3.1%) had confirmed …

Analysis Of Risk Factors For Fatal Rocky Mountain Spotted Fever: Evidence For Superiority Of Tetracyclines For Therapy, Robert C. Holman, Christopher D. Paddock, Aaron T. Curns, John W. Krebs, Jennifer H. Mcquiston, James E. Childs

Zoonotics and Wildlife Disease: Publications

Epidemiologic and clinical characteristics of fatal and nonfatal cases of Rocky Mountain spotted fever (RMSF) were compared to identify risk factors for death caused by this disease. Confirmed and probable RMSF cases reported through US national surveillance for 1981- 1998 were analyzed. Among 6388 RMSF patients, 213 died (annual case-fatality rate, 3M; range, 4.9 % in 1982 to 1.1 % in 1996). Use of tetracycline-class antibiotics for treatment of RMSF increased significantly in the 1990s, compared with use in the 1980s. Older patients, patients treated with chloramphenicol only, patients for whom tetracycline antibiotics were not the primary therapy, and patients …