A case series of Mediterranean spotted fever and murine typhus with neurological manifestations

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Titel: A case series of Mediterranean spotted fever and murine typhus with neurological manifestations
Autoren: Fatma Hammami, Makram Koubaa, Amal Chakroun, Khaoula Rekik, Sonda Mezghani, Adnane Hammami, Chakib Marrakchi, Fatma Smaoui, Mounir Ben Jemaa
Quelle: Journal of Vector Borne Diseases, Vol 61, Iss 3, Pp 489-494 (2024)
Verlagsinformationen: Medknow, 2024.
Publikationsjahr: 2024
Schlagwörter: Male, Adult, Tunisia, Adolescent, rickettsial infection, meningitis, Typhus, Endemic Flea-Borne, Infectious and parasitic diseases, RC109-216, neurological manifestation, Middle Aged, Boutonneuse Fever, mediterranean spotted fever murine typhus, Anti-Bacterial Agents, Young Adult, Humans, Female, Child, Retrospective Studies, Aged
Beschreibung: Background & objectives: Severe cases with neurological manifestations of rickettsiosis have been reported. We aimed to identify the epidemiological, clinical and laboratory features of central nervous system rickettsial infections and to describe the treatment. Methods: We carried out a retrospective study that included all patients hospitalized with rickettsiosis in the infectious diseases department of Hedi Chaker University Hospital in Sfax, Tunisia between 1993 and 2018. Results: We identified 47 patients with central nervous system rickettsial infections among 440 patients with rickettsial infections (10.7%). Skin rash (31.9% vs 87.8%; p Interpretation & conclusion: Cardinal clinical features and typical laboratory results including thrombocytopenia were less frequent, and prognosis was more severe in patients with central nervous system rickettsial infections.
Publikationsart: Article
Sprache: English
ISSN: 0972-9062
DOI: 10.4103/0972-9062.383643
Zugangs-URL: https://pubmed.ncbi.nlm.nih.gov/39374494
https://doaj.org/article/5d41a9e73cea42a8bd42035a5792e143
Dokumentencode: edsair.doi.dedup.....d1a4ee4eec1fdc0dca3775adb31af46f
Datenbank: OpenAIRE
Beschreibung
Abstract:Background & objectives: Severe cases with neurological manifestations of rickettsiosis have been reported. We aimed to identify the epidemiological, clinical and laboratory features of central nervous system rickettsial infections and to describe the treatment. Methods: We carried out a retrospective study that included all patients hospitalized with rickettsiosis in the infectious diseases department of Hedi Chaker University Hospital in Sfax, Tunisia between 1993 and 2018. Results: We identified 47 patients with central nervous system rickettsial infections among 440 patients with rickettsial infections (10.7%). Skin rash (31.9% vs 87.8%; p Interpretation & conclusion: Cardinal clinical features and typical laboratory results including thrombocytopenia were less frequent, and prognosis was more severe in patients with central nervous system rickettsial infections.
ISSN:09729062
DOI:10.4103/0972-9062.383643