scholarly journals Tache Noire in a Patient with Acute Q Fever

2018 ◽  
Vol 27 (1) ◽  
pp. 92-94
Author(s):  
Vito Fiore ◽  
Fabiola Mancini ◽  
Alessandra Ciervo ◽  
Paola Bagella ◽  
Francesca Peruzzu ◽  
...  
Keyword(s):  
Rare Case ◽  
Clinical Presentation ◽  
Q Fever ◽  
Spotted Fever ◽  
Mediterranean Area ◽  
Clinical Feature ◽  
Mediterranean Spotted Fever ◽  
Acute Q Fever ◽  
Pathognomonic Sign ◽  
Rule Out

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.

scholarly journals Unusual Maculopapular Rash on the Scalp of a Patient with Mediterranean Spotted Fever

2018 ◽  
Vol 28 (3) ◽  
pp. 291-293
Author(s):  
Ivan Baltadzhiev ◽  
Nedialka Popivanova
Keyword(s):  
Breast Cancer ◽  
Clinical Features ◽  
Rare Case ◽  
Clinical Characteristics ◽  
Clinical Presentation ◽  
Spotted Fever ◽  
Good Condition ◽  
Maculopapular Rash ◽  
Mediterranean Spotted Fever ◽  
Immunofluorescent Assay

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.

Epidemiologic features and clinical presentation of acute Q fever in hospitalized patients: 323 French cases

1992 ◽  
Vol 93 (4) ◽  
pp. 427-434 ◽  
Author(s):  
HervéTissot Dupont ◽  
Didier Raoult ◽  
Philippe Brouqui ◽  
François Janbon ◽  
Dominique Peyramond ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Q Fever ◽  
Hospitalized Patients ◽  
Acute Q Fever ◽  
Epidemiologic Features

scholarly journals Epidemiological features of Mediterranean spotted fever, murine typhus, and Q fever in Split-Dalmatia County (Croatia), 1982–2002

2007 ◽  
Vol 136 (7) ◽  
pp. 972-979 ◽  
Author(s):  
V. PUNDA-POLIĆ ◽  
B. LUKŠIĆ ◽  
V. ČAPKUN
Keyword(s):  
Incidence Rate ◽  
Q Fever ◽  
Spotted Fever ◽  
Epidemiological Data ◽  
Incidence Rates ◽  
Mediterranean Spotted Fever ◽  
Murine Typhus ◽  
Epidemiological Features ◽  
And Gender ◽  
Gender Specific

SUMMARYWe determined the epidemiological features of three zoonoses in hospitalized patients in southern Croatia. Patients were diagnosed by serological testing. Clinical and epidemiological data were also collected. Between 1982 and 2002, Mediterranean spotted fever (MSF) was diagnosed in 126 (incidence rate 1·27/100 000 per year), murine typhus (MT), in 57 (incidence rate 0·57/100 000 per year), and Q fever in 170 (incidence rate 1·7/100 000 per year) patients. MSF and Q fever were characterized by a marked seasonality. Incidences of Q fever and of MSF were higher for males than for females (P<0·0001 andP=0·0024, respectively). The most frequent of the three zoonoses in children was MSF. Q fever and MT cases were mostly seen in the 21–50 years age group. We found no statistically significant differences between season- and gender-specific incidence rates of MT. Whereas infections due to rickettsiae decreased, the incidence of Q fever increased over the last 12 years of the study.

Clinical Presentation of Acute Q Fever in Lanzarote (Canary Islands): A 2-Year Prospective Study

1996 ◽  
Vol 28 (5) ◽  
pp. 533-534 ◽  
Author(s):  
Francisco Pascual Velasco ◽  
María Victoria Borobio Enciso ◽  
Zoilo González Lama ◽  
Miguel Carrascosa Porras
Keyword(s):  
Prospective Study ◽  
Canary Islands ◽  
Clinical Presentation ◽  
Q Fever ◽  
Acute Q Fever

scholarly journals Clinical presentation of acute Q fever in Spain: seasonal and geographical differences

2014 ◽  
Vol 26 ◽  
pp. 162-164 ◽  
Author(s):  
Elena Espejo ◽  
Aída Gil-Díaz ◽  
José Antonio Oteo ◽  
Renato Castillo-Rueda ◽  
Lara García-Alvarez ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Q Fever ◽  
Geographical Differences ◽  
Acute Q Fever

scholarly journals A Rare Case of Retinal Artery Occlusion in the Context of Mediterranean Spotted Fever

2014 ◽  
Vol 5 (1) ◽  
pp. 22-27 ◽  
Author(s):  
Diana Beselga ◽  
António Campos ◽  
Miguel Castro ◽  
Sílvia Mendes ◽  
Joana Campos ◽  
...  
Keyword(s):  
Rare Case ◽  
Spotted Fever ◽  
Retinal Artery Occlusion ◽  
Artery Occlusion ◽  
Mediterranean Spotted Fever ◽  
Retinal Artery

A Rare Case of Acute Q Fever Presenting with Deep Jaundice and a Review of the Literature

2010 ◽  
Vol 23 (3) ◽  
pp. 124-129 ◽  
Author(s):  
Taner Yildirmak ◽  
Funda Simsek ◽  
Bekir Celebi ◽  
Erdinc Cavus ◽  
Arzu Kanturk ◽  
...  
Keyword(s):  
Rare Case ◽  
Q Fever ◽  
Review Of The Literature ◽  
Acute Q Fever

scholarly journals A Rare Case of Mediterranean Spotted Fever and Encephalitis

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Raquel Sousa Almeida ◽  
Petra M. Pego ◽  
Maria João Pinto ◽  
João Matos Costa
Keyword(s):  
Rare Case ◽  
Spotted Fever ◽  
Rhipicephalus Sanguineus ◽  
Clinical Suspicion ◽  
Rickettsia Conorii ◽  
Mediterranean Spotted Fever ◽  
Neurological Manifestations ◽  
Limited Disease ◽  
Initiation Of Therapy ◽  
Dog Tick

Mediterranean spotted fever is a tick-borne zoonotic disease caused byRickettsia conorii. It is transmitted by the dog tickRhipicephalus sanguineus. It usually presents as a benign self-limited disease characterized by a skin rash, high fever, and, sometimes, a characteristic ulcer at the tick bite site calledtache noir. The course of this disease is usually benign, although severe manifestations have been previously described, mainly in adults. Neurological manifestations are very unusual. We present a case of Mediterranean spotted fever with encephalitis to highlight the importance of clinical suspicion, mainly in endemic areas, the potential severity of this disease, and the need of early initiation of therapy in order to prevent severe complications.

scholarly journals Incidence Estimates of Acute Q Fever and Spotted Fever Group Rickettsioses, Kilimanjaro, Tanzania, from 2007 to 2008 and from 2012 to 2014

2021 ◽  
Author(s):  
Sruti Pisharody ◽  
Matthew P. Rubach ◽  
Manuela Carugati ◽  
William L. Nicholson ◽  
Jamie L. Perniciaro ◽  
...  
Keyword(s):  
Healthcare Utilization ◽  
Q Fever ◽  
Spotted Fever ◽  
Annual Incidence ◽  
Sub Saharan Africa ◽  
Spotted Fever Group ◽  
Uncertainty Range ◽  
Northern Tanzania ◽  
Utilization Data ◽  
Acute Q Fever

Q fever and spotted fever group rickettsioses (SFGR) are common causes of severe febrile illness in northern Tanzania. Incidence estimates are needed to characterize the disease burden. Using hybrid surveillance—coupling case-finding at two referral hospitals and healthcare utilization data—we estimated the incidences of acute Q fever and SFGR in Moshi, Kilimanjaro, Tanzania, from 2007 to 2008 and from 2012 to 2014. Cases were defined as fever and a four-fold or greater increase in antibody titers of acute and convalescent paired sera according to the indirect immunofluorescence assay of Coxiella burnetii phase II antigen for acute Q fever and Rickettsia conorii (2007–2008) or Rickettsia africae (2012–2014) antigens for SFGR. Healthcare utilization data were used to adjust for underascertainment of cases by sentinel surveillance. For 2007 to 2008, among 589 febrile participants, 16 (4.7%) of 344 and 27 (8.8%) of 307 participants with paired serology had Q fever and SFGR, respectively. Adjusted annual incidence estimates of Q fever and SFGR were 80 (uncertainty range, 20–454) and 147 (uncertainty range, 52–645) per 100,000 persons, respectively. For 2012 to 2014, among 1,114 febrile participants, 52 (8.1%) and 57 (8.9%) of 641 participants with paired serology had Q fever and SFGR, respectively. Adjusted annual incidence estimates of Q fever and SFGR were 56 (uncertainty range, 24–163) and 75 (uncertainty range, 34–176) per 100,000 persons, respectively. We found substantial incidences of acute Q fever and SFGR in northern Tanzania during both study periods. To our knowledge, these are the first incidence estimates of either disease in sub-Saharan Africa. Our findings suggest that control measures for these infections warrant consideration.

Sign in / Sign up

Export Citation Format

Share Document