Search
boutonneuse fever; Mediterranean spotted fever
Etiology: Rickettsia conorrii
Epidemiology:
1) endemic in Mediterranean, India, Africa
2) transmitted by ticks
3) reservoir: rodents, dogs
4) spring, summer
Clinical manifestations:
1) incubation period 2-14 days
2) fever, headaches, myalgias
3) maculopapular skin eruption (rarely vesicular & petechial)
- generally begins on ankles & wrists
- involves palms & soles [3]
4) eschar at site of tick bite
5) eruption on proximal extremities, spreading to face & trunk
6) regional adenopathy
Laboratory:
- Rickettsia DNA
Complications:
- neurologic manifestations
Management:
- see Rocky Mountain spotted fever (doxycycline for 7-10 days)
Related
eschar
familial Mediterranean fever (FMF, recurrent polyserositis)
Rickettsia conorrii
General
rickettsial spotted fever; tick typhus
References
- Harrison's Principles of Internal Medicine, 14th ed.
Fauci et al (eds), McGraw-Hill Inc. NY, 1998, pg 91
- Harrison's Principles of Internal Medicine, 13th ed.
Isselbacher et al (eds), McGraw-Hill Inc. NY, 1994, pg 748
- Medical Knowledge Self Assessment Program (MKSAP) 18,
American College of Physicians, Philadelphia 2018