THE INFECTION CAUSED BY RICKETTSIA CONORII (CASE PRESENTATION)
Abstract:
Boutonneuse Fever is usually a benign rickettsial disease caused by Rickettsia conorii (endemic in the Mediterranean basin); however, severe complications can occur in elderly and in immunologically-compromised persons (the so-called malignant butonneuse fever). Mild forms are usually observed in children. The major clinical features are fever, exanthemas, and “tache noire” (black scar/mark, necrotic plaque), myoarthralgias and renal failure. The positive diagnosis is confirmed by using culture techniques or serologic tests; the antibody detection by immune-fluorescence is possible only later in the infection evolution. The election treatment consists of cyclins, luoroquinolones, chloramphenicol and the new macrolides. We present a case of Boutonneuse Fever originating from a non-endemic area and the diagnosis problems. (In Romania the BF is endemic in Constanta and Bucharest).
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