Abstract
The effect of chloramphenicol treatment on the development of immunity to scrub typhus in mice was studied. Chemotherapy was administered either shortly before infection and for 14 days thereafter (group I), or from 7 to 21 days postinfection (group II). Although the full course of either regimen resulted in complete protection of the mice against subsequent challenge with the homologous strain of Rickettsia tsutsugamushi, initiation of chemotherapy at 7 days postinfection resulted in more rapid development of immunity against both the original infection and subsequent challenge. In both treatment groups, a 1- to 2- day hiatus was observed between immunity to challenge in the treated animal and the ability to transfer this immunity to syngeneic recipients with lymphocyte-enriched spleen cells. Similarly, complement-fixing antibodies were not detectable until shortly after the animals were able to resist challenge. These data supported the conclusion that the rickettsiostatic effect of chloramphenicol allows the infected animal time to mount an effective immune response and, further, that initiation of chemotherapy early in the infection may delay development of this response.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Catanzaro P. J., Shirai A., Hilderbrandt P. K., Osterman J. V. Host defenses in experimental scrub typhus: histopathological correlates. Infect Immun. 1976 Mar;13(3):861–875. doi: 10.1128/iai.13.3.861-875.1976. [DOI] [PMC free article] [PubMed] [Google Scholar]
- DOHERTY R. L. A clinical study of scrub typhus in North Queensland. Med J Aust. 1956 Aug 11;43(6):212–220. doi: 10.5694/j.1326-5377.1956.tb56591.x. [DOI] [PubMed] [Google Scholar]
- Elisberg B. L., Campbell J. M., Bozeman F. M. Antigenic diversity of rickettsia tsutsugamushi: epidemiologic and ecologic significance. J Hyg Epidemiol Microbiol Immunol. 1968;12(1):18–25. [PubMed] [Google Scholar]
- Hazlett D. R. Scrub typhus in Vietnam: experience at the 8th Field Hospital. Mil Med. 1970 Jan;135(1):31–34. [PubMed] [Google Scholar]
- KENT J. F., FIFE E. H., Jr Precise standardization of reagents for complement fixation. Am J Trop Med Hyg. 1963 Jan;12:103–116. doi: 10.4269/ajtmh.1963.12.103. [DOI] [PubMed] [Google Scholar]
- LEY H. L., Jr, DIERCKS F. H., PATERSON P. Y., SMADEL J. E., WISSEMAN C. L., Jr, TRAUB R. Immunization against scrub typhus. IV. Living Karp vaccine and chemoprophylaxis in volunteers. Am J Hyg. 1952 Nov;56(3):303–312. [PubMed] [Google Scholar]
- PREZYNA A. P., CHANG T. L., WANG T. L., DOUGHERTY W. J., BOND H. B. Treatment of scrub typhus in the Pescadores Islands with chloramphenicol, aureomycin and terramycin. Am J Trop Med Hyg. 1954 Jul;3(4):608–614. doi: 10.4269/ajtmh.1954.3.608. [DOI] [PubMed] [Google Scholar]
- SMADEL J. E., LEY H. L., Jr, DIERCKS R. H., CAMERON J. A. P. Persistence of Rickettsia tsutsugamushi in tissues of patients recovered from scrub typhus. Am J Hyg. 1952 Nov;56(3):294–302. doi: 10.1093/oxfordjournals.aje.a119553. [DOI] [PubMed] [Google Scholar]
- Sheehy T. W., Hazlett D., Turk R. E. Scrub typhus. A comparison of chloramphenicol and tetracycline in its treatment. Arch Intern Med. 1973 Jul;132(1):77–80. doi: 10.1001/archinte.132.1.77. [DOI] [PubMed] [Google Scholar]
- Shirai A., Catanzaro P. J., Phillips S. M., Osterman J. V. Host defenses in experimental scrub typhus: role of cellular immunity in heterologous protection. Infect Immun. 1976 Jul;14(1):39–46. doi: 10.1128/iai.14.1.39-46.1976. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Smadel J. E., Woodward T. E., Ley H. L., Jr, Philip C. B., Traub R., Lewthwaite B., Savoor S. R. Chloromycetin in the Treatment of Scrub Typhus. Science. 1948 Aug 13;108(2798):160–161. doi: 10.1126/science.108.2798.160. [DOI] [PubMed] [Google Scholar]
- Smadel J. E., Woodward T. E., Ley H. L., Lewthwaite R. CHLORAMPHENICOL (CHLOROMYCETIN) IN THE TREATMENT OF TSUTSUGAMUSHI DISEASE (SCRUB TYPHUS). J Clin Invest. 1949 Sep;28(5 Pt 2):1196–1215. doi: 10.1172/JCI102154. [DOI] [PMC free article] [PubMed] [Google Scholar]