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2018, Number 2

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Med Crit 2018; 32 (2)

Malignant Mediterranean boutonneuse fever

García HAN, Erice AE, García PM, Sanz GE
Full text How to cite this article 10.35366/79709

DOI

DOI: 10.35366/79709
URL: https://dx.doi.org/10.35366/79709

Language: Spanish
References: 5
Page: 111-112
PDF size: 97.97 Kb.


Key words:

Mediterranean fever, rickettsiosis, malignant mediterranean fever.

ABSTRACT

Mediterranean fever is an acute infectious disease included in the group of human rickettsiosis, caused by Rickettsia conorii, with geographic distribution circumscribed to the Mediterranean countries where it is considered endemic. In Spain, in the last two decades, there has been an increase in the incidence and presence of cases in geographical regions other than the endemic area described by the name of the disease, which has been correlated with the high temperatures and the low level of precipitations. It is a generally benign with low mortality associated. Its clinical spectrum varies from asymptomatic cases to an exceptional «malignant» form characterized by an important visceral compromise, especially renal failure, disseminated intravascular coagulation with purpuric rash, severe hepatic alteration, pulmonary infiltrates and altered level of consciousness. We describe the case of a patient with Malignant Mediterranean fever that evolved favorably.


REFERENCES

  1. García-Magallón B, Cuenca-Torres M, Gimeno-Vilarrasa F, Guerrero-Espejo A. Fiebre botonosa mediterránea: epidemiología en España durante el período 2009-2012. Rev Esp Salud Pública. 2015;89(3):321-328.

  2. Merlo GV, Marcos SF, Árbol LF, Gómez FM, Simón MA, López OP. Fiebre botonosa maligna. Med Intensiva. 2002;26(1):21-23.

  3. Sexton DJ, McClain MT. Other spotted fever group rickettsial infections. UpToDate (en línea). 2016. Disponible en: http://www.uptodate.com/

  4. Álvarez VM, Torres LJ, Menéndez MM, Casado CM, Segovia AM. Fiebre botonosa mediterránea: a propósito de un caso. Sanid Mil. 2014;3(70):185-187.

  5. Castro JR, García GJ, Redondo PR, Quero EB. Fiebre botonosa mediterránea: a propósito de dos casos en área de asistencia primaria urbana. Semergen. 2006;32(1):36-40.




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C?MO CITAR (Vancouver)

Med Crit. 2018;32