Zijlstra Marieke, Heidema Jojanneke, Lukkassen Ingrid
St. Antonius Ziekenhuis, afd. Kindergeneeskunde, Utrecht/Nieuwegein.
Ned Tijdschr Geneeskd. 2014;158:A7238.
An 8-year-old boy presented with a fever, headache, maculopapular rash and painful joints after a vacation in Morocco. He had an eschar on his arm. Under the presumed diagnosis of rickettsiosis he was treated with doxycycline after which his fever subsided. Serology became positive for Rickettsia conorii 2 weeks later.
一名8岁男孩在摩洛哥度假后出现发热、头痛、斑丘疹和关节疼痛。他手臂上有一处焦痂。在疑似诊断为立克次体病后,他接受了强力霉素治疗,之后发热消退。两周后血清学检测显示康氏立克次体呈阳性。