Multiple organ failure as onset of Mediterranean spotted fever: a review based on a case.

Autor: Mansueto, Pasquale, Seidita, Aurelio, Bongiovì, Accursia, Catalano, Tiziana, Pirrone, Giuseppe, Cusimano, Claudia, D'Alcamo, Alberto, Carroccio, Antonio
Zdroj: Italian Journal of Medicine; 2016, Vol. 10 Issue 3, p195-201, 7p
Abstrakt: Mediterranean spotted fever (MSF) is an infectious disease endemic in the southern regions of Italy, with an incidence of about 400 cases/year. The bacteria responsible of the disease is Rickettsia conorii, transmitted to humans by Rhipicephalus sanguineus, the common dog tick. The infection usually manifests with a characteristic symptomatologic triad: fever, exanthema and the so called tache noire, which is the typical eschar at the site of the tick bite. Immunoglobulin M (IgM) and IgG enzymelinked immunosorbent assay and the gold standard micro-immunofluorescent assay, allow serological diagnosis. We report the case of a man suffering from MSF, whose atypical presentation and false-negative diagnostic tests delayed consistently diagnosis and therapy. Afterwards we review the literature about this topic. [ABSTRACT FROM AUTHOR]
Databáze: Supplemental Index