Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2018
Tache Noire in a Patient with Acute Q Fever.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Fiore Vito, Mancini Fabiola, Ciervo Alessandra, Bagella Paola, Peruzzu Francesca, Nunnari Giuseppe, Deiana Giovanni Andrea, Rezza Giovanni, Babudieri Sergio, Madeddu Giordano
Аннотация
OBJECTIVE: To describe a rare case of acute Q fever with tache noire.
CLINICAL PRESENTATION AND INTERVENTION: A 51-year-old man experienced acute Q fever showing tache noire, generally considered a pathognomonic sign of Mediterranean spotted fever (MSF) and MSF-like illness, but not a clinical feature of Q fever. The patient was treated with doxycycline 100 mg every 12 h.
CONCLUSION: In the Mediterranean area, tache noire should be considered pathognomonic of MSF but it should not rule out Q fever. Clinical diagnosis should be supported by accurate laboratory diagnostic tests to guide proper management.
CLINICAL PRESENTATION AND INTERVENTION: A 51-year-old man experienced acute Q fever showing tache noire, generally considered a pathognomonic sign of Mediterranean spotted fever (MSF) and MSF-like illness, but not a clinical feature of Q fever. The patient was treated with doxycycline 100 mg every 12 h.
CONCLUSION: In the Mediterranean area, tache noire should be considered pathognomonic of MSF but it should not rule out Q fever. Clinical diagnosis should be supported by accurate laboratory diagnostic tests to guide proper management.