Une myocardite aiguë compliquant une fièvre boutonneuse méditerranéenne. À propos d’un cas

Mansour, Nizar Ben; Barakett, Nadia; Hajlaoui, Nadhem; Haggui, Abdeddayem; Filali, Thouraya; Dahmen, Rutger; Fehri, Wafa; Haouala, Habib

doi:10.1016/j.ancard.2011.05.003

Cited by 9 publications

(3 citation statements)

References 10 publications

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“…Considering the clinical findings of the patient, Lyme disease was not primarily considered because the symptoms occurred shortly after the tick bite incident and Lyme carditis is a condition which is mostly expected to be seen weeks after the tick contact, and it is characterized by cardiac arrhythmias such as atrioventricular block. In the literature, a case of MSF and myocarditis due to Rickettsia conorii was reported in a 15-year-old child with G6PD deficiency, and the patient responded dramatically to early treatment, as in our case 4 . In our case, no rash was observed on the body and tache noir was present.…”

Section: Case-3supporting

confidence: 64%

A clinical case series of Rickettsia spp. from southern Türkiye

YEŞİL,

ÖZGÖKÇE ÖZMEN,

AKÇA

et al. 2023

Cukurova Medical Journal

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Rickettsial infections should be considered in the presence of a maculopapular rash, especially in the endemic area with a history of tick bite. In this study, Rickettsia spp. infections of three cases will be mentioned. Three cases with positive Rickettsia spp immunofluorescent antibody serology were included in the study. Case-1 was a 17-year-old male patient, who had a history of tick bite one week before the admission was admitted with chest pain. He had tachycardia and a "tache noir" rash with a necrotic center in the area of the tick bite. Laboratory parameters showed lymphopenia, cardiac enzymes elevation. The patient’s serelogy of Rickettsia conorii IgM was 1/192 titer positive and IgG was negative. He hospitalized as acute Mediterranean Spotted Fever myocarditis. He recovered with doxycycline treatment. Case-2 was a nine-month-old girl presented with fever, rash and lymphadenomegaly on left axilla two weeks after the tick bite of her left arm. The rash was localized to the arm. R. slovaca and R. aeschlimannii serologies were detected 1/40 titer positive. After ciprofloxacin treatment her symptoms had dissapeared. Case-3 was a seven-year-old girl presented with fever reaching 39ºC for five days, myalgia and rash all over her body. She had scratched the tick from the scalp five days before the admission. Rickettsia conorii IgM serology was 1/768, IgG was 1/640 titer positive. She recovered after doxycycline treatment. Rickettsia spp. infections can lead to infections like myocarditis or the spotted fever group Rickettsiosis diseases. Complications can be prevented with early diagnosis and treatment.

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Section: Case-3supporting

confidence: 64%

A clinical case series of Rickettsia spp. from southern Türkiye

YEŞİL,

ÖZGÖKÇE ÖZMEN,

AKÇA

et al. 2023

Cukurova Medical Journal

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“…It was estimated that about 5–10% of MSF cases could be severe. Cases of severe respiratory distress syndrome, 57 cardiovascular symptoms (coronary ectasia, 58 myocarditis, 59 , 60 vasculitis 61 ) ocular symptoms, 62 – 65 neurological symptoms 66 , 67 (sensorineural hearing lost, 68 , 69 polyneuropathy, 70 , 71 encephalitis, 72 , 73 meningitis 74 , 75 ), acute pancreatitis, 76 splenic rupture, 77 acute renal failure, 73 hemophagocytic syndrome 78 – 80 and arthritis 81 , 82 have been reported.…”

Section: Clinical Manifestationmentioning

confidence: 99%

Epidemiology, Clinical Aspectes,laboratory Diagnosis and Treatment of Rickesial Diseases in the Mediterranean Area Durin Covid-19 Pandemic:a Review of the Literature

Vito

Geremia

Mameli

et al. 2020

Mediterr J Hematol Infect Dis

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The purpose of the present review is to give an update regarding the classification, the epidemiology, the clinical manifestation, the diagnoses, and the treatment of the Rickettsiae species present in the Mediterranean area. We performed a comprehensive search, through electronic databases (Pubmed – MEDLINE) and search engines (Google Scholar), of peer-reviewed publications (articles, reviews, and books). The availability of new diagnostic tools, including Polymerase Chain Reaction and nucleotide sequencing has significantly modified the classification of intracellular bacteria, including the order Rickettsiales with more and more new Rickettsia species recognized as human pathogens. Furthermore, emerging Rickettsia species have been found in several countries and are often associated with unique clinical pictures that may challenge the physician in the early detection of the diseases. Rickettsial infections include a wide spectrum of clinical presentations ranging from a benign to a potentially life treating disease that requires prompt recognition and proper management. Recently, due to the spread of SARS-CoV-2 infection, the differential diagnosis with COVID-19 is of crucial importance. The correct understanding of the clinical features, diagnostic tools, and proper treatment can assist clinicians in the management of Rickettsioses in the Mediterranean area.

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“…Nörolojik komplikasyona örnek olarak tedavide gecikme yaşanan bir ABA hastasında yüzü de içeren tek taraflı duyu kaybı saptanmış ve yapılan tetkiklerinde bölge ile uyumlu iskemik beyin lezyonu görüntülenmiştir (8). Myokardit 15 yaşında glukoz-6-fosfat dehidrogenaz eksikliği olan bir çocukta bildirilmiştir (9). Bu bildirimlerden de anlaşılacağı gibi hastalıkta ciddiyet yaş, yapısal hastalık varlığı gibi bir çok değiştirilemeyen faktör ile ilgili iken aynı zamanda da tedavide gecikme ile ilişkilidir.…”

Section: Olgu Sunumuunclassified