Monterde-Álvarez Maria Laura, Calbet-Ferré Clara, Rius-Gordillo Neus, Pujol-Bajador Isabel, Ballester-Bastardie Frederic, Escribano-Subías Joaquín
Servicio de Pediatría, Hospital Universitari Sant Joan de Reus, Reus, Tarragona, España.
Servicio de Pediatría, Hospital Universitari Sant Joan de Reus, Reus, Tarragona, España.
Enferm Infecc Microbiol Clin. 2017 Feb;35(2):100-103. doi: 10.1016/j.eimc.2016.01.013. Epub 2016 Mar 11.
Rickettsia diseases are a group of tick-borne transmitted diseases, classified into 2 large groups: spotted fevers and typhus fevers. In addition, a new condition has been described recently, known as tick-borne lymphadenopathy. A retrospective series is presented of paediatric cases of rickettsia diseases diagnosed in 2013 and 2014. A total of 8 patients were included, of which 2 of them were diagnosed as Mediterranean spotted fever, and 6 as tick-borne lymphadenopathy. Rickettsia slovaca, Rickettsia sibirica mongolitimonae, and Rickettsia massiliae were identified in 3 of them. Aetiology, clinical features and treatment carried out in each of them are described. The interest of these cases is that, although most have a benign course, the high diagnostic suspicion and early treatment seem to be beneficial for its outcome.
立克次体病是一组由蜱传播的疾病，分为两大类：斑点热和斑疹伤寒热。此外，最近还描述了一种新病症，称为蜱传淋巴结病。本文呈现了一组2013年和2014年诊断的立克次体病儿科病例的回顾性研究。共纳入8例患者，其中2例被诊断为地中海斑点热，6例为蜱传淋巴结病。其中3例鉴定出斯洛伐克立克次体、西伯利亚立克次体蒙古亚种和马赛立克次体。描述了每例患者的病因、临床特征及治疗情况。这些病例的意义在于，尽管大多数病程良性，但高度的诊断怀疑及早期治疗似乎对其预后有益。
