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.

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.

Unilateral Keratoderma in a Mother and Her Son

2012 ◽  
Vol 16 (4) ◽  
pp. 288-290 ◽  
Author(s):  
Ashley O'toole ◽  
Maureen O'malley
Keyword(s):  
Case Report ◽  
Clinical Features ◽  
Rare Case ◽  
Clinical Presentation ◽  
History Taking ◽  
History Of ◽  
Soles Of The Feet

Background: Keratoderma is a group of conditions characterized by hyperkeratosis affecting the skin on the soles of the feet and palms of the hands bilaterally. The classification of keratodermas depends on whether it is inherited or acquired and on its clinical features, including diffuse or focal involvement of the skin and the morphology of lesions present. Case Report: We describe the rare case of a 54-year-old female who presented with a nearly 40-year history of punctate keratoderma on her right palm and sole. History taking revealed that her biologic son also has unilateral left-sided keratoderma. The clinical presentation of unilateral keratoderma has been reported only four times in the literature.

Bilateral vertex extradural hematomas: A case report

2008 ◽  
Vol 05 (02) ◽  
pp. 109-111 ◽  
Author(s):  
SGS Datta
Keyword(s):  
Case Report ◽  
Head Injury ◽  
Clinical Features ◽  
Rare Case ◽  
Clinical Presentation ◽  
Rare Form ◽  
Excellent Outcome ◽  
Intra Cranial Pressure

AbstractBilateral vertex extra dural hematomas (EDH) are a rare form of extra dural hematomas with many unique features. We report one such case of bilateral vertex extra dural hematoma. A young house wife had a fall in the bathroom and sustained head injury. She showed clinical features of progressive raised intra cranial pressure. Neuroimaging revealed bilateral vertex EDH. The larger left sided hematoma was evacuated surgically while the smaller right sided hematoma was managed non operatively, with excellent outcome. This case report presents this rare case and briefly reviews the literature. Vertex EDH has a special uniqueness as to their etiopathology, clinical presentation, diagnosis & management principles.

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

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 Mediterranean Spotted Fever: Current Knowledge and Recent Advances

2021 ◽  
Vol 6 (4) ◽  
pp. 172
Author(s):  
Nikolaos Spernovasilis ◽  
Ioulia Markaki ◽  
Michail Papadakis ◽  
Nikolaos Mazonakis ◽  
Despo Ierodiakonou
Keyword(s):  
Clinical Features ◽  
Current Knowledge ◽  
Spotted Fever ◽  
Rhipicephalus Sanguineus ◽  
Molecular Techniques ◽  
Rickettsia Conorii ◽  
Mediterranean Spotted Fever ◽  
Spotted Fever Group ◽  
Serological Tests ◽  
True Nature

Mediterranean spotted fever (MSF) is an emerging tick-borne rickettsiosis of the spotted fever group (SFG), endemic in the Mediterranean basin. By virtue of technological innovations in molecular genetics, it has been determined that the causative agent of MSF is Rickettsia conorii subspecies conorii. The arthropod vector of this bacterium is the brown dog tick Rhipicephalus sanguineus. The true nature of the reservoir of R. conorii conorii has not been completely deciphered yet, although many authors theorize that the canine population, other mammals, and the ticks themselves could potentially contribute as reservoirs. Typical symptoms of MSF include fever, maculopapular rash, and a characteristic eschar (“tache noire”). Atypical clinical features and severe multi-organ complications may also be present. All of these manifestations arise from the disseminated infection of the endothelium by R. conorii conorii. Several methods exist for the diagnosis of MSF. Serological tests are widely used and molecular techniques have become increasingly available. Doxycycline remains the treatment of choice, while preventive measures are focused on modification of human behavior and vector control strategies. The purpose of this review is to summarize the current knowledge on the epidemiology, pathogenesis, clinical features, diagnosis, and treatment of MSF.

Clinical features of rheumatoid arthritis

2020 ◽  
pp. 109-120
Author(s):  
Annette van der Helm-van Mil
Keyword(s):  
Rheumatoid Arthritis ◽  
Pattern Recognition ◽  
Clinical Features ◽  
Clinical Characteristics ◽  
Clinical Presentation ◽  
Early Recognition ◽  
Classification Criteria ◽  
Differential Diagnoses ◽  
Disease Stage ◽  
Over Time

The diagnosis of rheumatoid arthritis (RA) is based on a combination of symptoms, signs, and investigation results. As such, it is mainly based on pattern recognition. Classification criteria are not developed to make accurate diagnoses in individual patients, but for the primary purpose of defining homogeneous disease groups for scientific studies. The RA classification criteria have changed over time. This chapter discusses the process of diagnosing RA, the range of clinical characteristics that contribute to this process, its relationship with evolving classification criteria for the condition, and important differential diagnoses. Current recommendations encourage early recognition of arthritis and RA. Since clinical presentation may differ with disease stage, this chapter will also review how the RA phenotype changes as prearthritis progresses to early undifferentiated arthritis and established RA.

scholarly journals Rare Oral Mucous Extravasation Cyst: Case Report

2021 ◽  
Vol 6 (04) ◽  
pp. 275-278
Author(s):  
Rajae El Gaouzi ◽  
Bassima Chami
Keyword(s):  
Rare Case ◽  
Clinical Characteristics ◽  
Hard Palate ◽  
Clinical Presentation ◽  
Minor Salivary Glands ◽  
Benign Lesions ◽  
Lower Lip ◽  
Histological Features ◽  
Floor Of Mouth ◽  
Atypical Clinical Presentation

Mucoceles are a benign lesions characterized by an extravasation or retention of mucous in submucosal tissue from minor salivary glands caused most probably by a trauma or habit of lip biting. They usually present as an asymptomatic small superficial swelling, which are knew to occur most commonly on the lower lip, followed by the floor of mouth and in other sites. However, uncommon variants of oral mucoceles sometimes occur. Such lesions may be difficult to diagnose due to their unusual localization and atypical clinical presentation. This paper highlights a rare case of mucocele localized in hard palate in a 63 years old male patient. The lesion was depressed, with a bluish appearance, and it measured 7 mm × 5 mm x 2 mm. Diagnosis is based on clinical characteristics, and confirmed with histological features.

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