[Neurological feature of Mediterranean spotted fever: a study of four cases].
作者信息
Alioua Z, Bourazza A, Lamsyah H, Erragragui Y, Boudi O, Karouach K, Ghfir M, Mossedaq R, Sedrati O
机构信息
Service de dermatologie, hôpital militaire d'instruction Mohammed V, BP 1018, Rabat, Maroc.
出版信息
Rev Med Interne. 2003 Dec;24(12):824-9. doi: 10.1016/j.revmed.2003.08.002.
BACKGROUND
Rickettsia conorii is the etiologic agent of Mediterranean spotted fever that is endemic in Mediterranean.
EXEGESIS
We report four cases of serious form of Mediterranean spotted fever with neurological feature. Two of them 56 and 62 years old had meningoencephalitis. Two others had cerebellitis, they are aged 43 and 56. The course has been favourable with ciprofloxacin.
CONCLUSION
It is a benign well-known illness in spite of apparition of severe visceral complications, which can drag the death in 2.5% of cases. Neurological feature is more frequent and present in 28% of cases. Precocious treatment prevents this unfavourable evolution.
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