O254 Mediterranean spotted fever: a reemerging rickettsiosis? New trends in epidemiology, ecology and clinical presentation

2007 ◽  
Vol 29 ◽  
pp. S50
Author(s):  
C. Rovery ◽  
N. Mouffok ◽  
P.-E. Fournier ◽  
P. Brouqui ◽  
D. Raoult
2018 ◽  
Vol 28 (3) ◽  
pp. 291-293
Author(s):  
Ivan Baltadzhiev ◽  
Nedialka Popivanova

Objective: To report a rare case of maculopapular rash on the scalp in a patient with Mediterranean spotted fever (MSF). Clinical Presentation and Intervention: A 58-year-old woman with breast cancer and chemotherapy-induced alopecia contracted MSF. Her clinical features were typical, except for a maculopapular rash covering the scalp. The diagnosis of MSF was confirmed by immunofluorescent assay. The disease had a favorable course and the patient was discharged in good condition. Conclusion: The rash on the scalp described in this report enriches our knowledge on the clinical characteristics of MSF.


2005 ◽  
Vol 12 (2) ◽  
pp. 91-94
Author(s):  
CP Ng ◽  
CH Chung

Mediterranean spotted fever (also called Boutonneuse fever) is a notifiable disease in Hong Kong, but its diagnosis can be difficult. We report a case of Mediterranean spotted fever in a middle-aged man who presented with persistent fever, headache, and skin rash. Three weeks ago, his daughter had similar presentations. With a history of similar clinical presentation within family members, the possibility of potential exposure to a common disease vector should be suspected. Establishing an early diagnosis may be possible if this important history is obtained. Early recognition of this disease may lead to early therapeutic intervention, resulting in decreased morbidity and shortened duration of hospital stay.


2018 ◽  
Vol 27 (1) ◽  
pp. 92-94
Author(s):  
Vito Fiore ◽  
Fabiola Mancini ◽  
Alessandra Ciervo ◽  
Paola Bagella ◽  
Francesca Peruzzu ◽  
...  

Objective: To describe a rare case of acute Q fever with tache noire. Clinical Presentation and Intervention: A 51-year-old man experienced acute Q fever showing tache noire, generally considered a pathognomonic sign of Mediterranean spotted fever (MSF) and MSF-like illness, but not a clinical feature of Q fever. The patient was treated with doxycycline 100 mg every 12 h. Conclusion: In the Mediterranean area, tache noire should be considered pathognomonic of MSF but it should not rule out Q fever. Clinical diagnosis should be supported by accurate laboratory diagnostic tests to guide proper management.


1994 ◽  
Vol 1 (2) ◽  
pp. 106-108 ◽  
Author(s):  
Letaïef Jemni ◽  
Houssem Hmouda ◽  
Mohamed Chakroun ◽  
Moez Ernez ◽  
Mezri May

The Lancet ◽  
1982 ◽  
Vol 319 (8283) ◽  
pp. 1249 ◽  
Author(s):  
M.A. Piras ◽  
C. Gakis ◽  
M. Budroni ◽  
G. Andreoni

2020 ◽  
Vol 18 (2) ◽  
pp. 111-119
Author(s):  
Iv. Baltadzhiev ◽  
P. Pavlov

Purpose: Mediterranean spotted fever (MSF) is a rickettsial disease. The aim was to evaluate the host immunе response to Rickettsia conorii. Material and methods: 62 patients were assigned into three groups: with mild, moderate or severe clinical forms of MSF. Controls were 32 healthy individuals. The diagnosis of MSF was confirmed by the indirect immunofluorescence assay. Immunophenotyping was performed using Epics XL-MCL Coulter. Results: The percentage of immune competent (CD3+) cells decreased, whereas that of helper/inducer (CD3+CD4+) and suppressor/cytotoxic (CD3+CD8+) did not change compared to controls. All three T-cell subset percentages did not parallel the disease severity. Naïve T-cells (CD4+CD45RA+) showed reduced levels, whereas activated memory (CD4+CD45RO+) T-cells did not change significantly. The percentage of activated (CD3+HLA-DR+) T-cells increased regardless of the disease severity, till the rise of stimulatory molecules (CD38+total) matched the disease severity forms. The percentage of costimulatory CD28-molecules corresponded to the disease severity as their levels increased significantly in mild forms and showed an evident downward trend towards the severe ones. Conclusion: Reduced T-lymphocyte subsets are likely related to trans-migration into perivascular inflammatory foci. The increased percentage of T-lymphocytes armed with stimulatory molecules probably reflects the mobilization of cell-mediated immune response in the healing process.


Acta Tropica ◽  
1989 ◽  
Vol 46 (5-6) ◽  
pp. 335-350 ◽  
Author(s):  
JoséIgnacio Herrero-Herrero ◽  
Ricardo Ruiz-Beltrán ◽  
A.Manuel Martín-Sánchez ◽  
Enrique J. García

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