一名来自阿根廷的感染马氏立克次体的患者。
A patient from Argentina infected with Rickettsia massiliae.
机构信息
Servicio de Medicina Interna, Hospital do Salnés, Villagarcía de Arosa, Pontevedra, Spain.
出版信息
Am J Trop Med Hyg. 2010 Apr;82(4):691-2. doi: 10.4269/ajtmh.2010.09-0662.
Abstract
The first confirmed case of Rickettsia massiliae infection in the New World (Buenos Aires, Argentina) is described. To date, only two cases of human infection had been reported in Europe. The patient, a woman, had a fever, a palpable purpuric rash on the upper and lower extremities, and a skin lesion (eschar) on the right leg compatible with tache noire. When interviewed, she reported having had contact with dog ticks. After treatment with doxycycline for 12 days, her symptoms resolved. Rickettsia massiliae infection was diagnosed by molecular-based detection of the microorganism in a biopsy specimen of the eschar.
摘要
首例新世界（阿根廷布宜诺斯艾利斯）感染马赛棒状杆菌的确诊病例被描述。迄今为止，仅在欧洲报告过两例人类感染病例。该患者为一名女性，有发热、上下肢可触及瘀点样皮疹，以及右小腿符合黑痂的皮肤损伤。在接受采访时，她报告说曾接触过狗蜱。经 12 天多西环素治疗后，她的症状得到缓解。通过对黑痂活检标本进行基于分子的微生物检测，诊断为马赛棒状杆菌感染。
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