Durrbach A, Jaccard A, Pruna A, Bedrossian J, Callard P, Idatte J M
Service de néphrologie, Hôpital Saint-Louis.
Nephrologie. 1996;17(6):333-6.
Boutonneuse spotted fever is a summer and late spring infection caused by Rickettsia Conorii mainly in Middle East countries adjacent to the mediterranean coast (1). Malignant forms have been described in debilitated patients associated with prerenal azotemia, acute tubular necrosis or renal vasculitis (2, 3). We report for the first time to our knowledge, the association of an extracapillary glomerulonephritis with a Boutonneuse spotted fever. This observation suggest that Rickettsia Conorii, as other bacteria, could participate to the development of glomerulonephritis.
纽扣热斑疹伤寒是一种主要发生在临近地中海海岸的中东国家,由康氏立克次体引起的春末夏初感染性疾病(1)。在身体虚弱的患者中曾有恶性形式的报道,伴有肾前性氮质血症、急性肾小管坏死或肾血管炎(2, 3)。据我们所知,我们首次报告了毛细血管外肾小球肾炎与纽扣热斑疹伤寒的关联。这一观察结果表明,康氏立克次体与其他细菌一样,可能参与了肾小球肾炎的发展。