Asunto(s)
Técnicas de Tipificación Bacteriana , Fiebre Botonosa/microbiología , Dermatoglifia del ADN , Polimorfismo Genético , Rickettsia conorii/clasificación , Rickettsia conorii/genética , Argelia , Biopsia , Análisis por Conglomerados , ADN Bacteriano/genética , ADN Bacteriano/aislamiento & purificación , Genotipo , Humanos , Datos de Secuencia Molecular , Filogenia , Reacción en Cadena de la Polimerasa , Rickettsia conorii/aislamiento & purificación , Análisis de Secuencia de ADN , Homología de Secuencia , Piel/microbiologíaAsunto(s)
Fiebre Botonosa/epidemiología , Adolescente , Argelia/epidemiología , Animales , Antibacterianos/uso terapéutico , Anticuerpos Antibacterianos/sangre , Western Blotting , Niño , Preescolar , Reacciones Cruzadas , Perros , Técnica del Anticuerpo Fluorescente Indirecta , Humanos , Inmunoglobulina G/sangre , Inmunoglobulina M/sangre , Lactante , Recién Nacido , Estudios Prospectivos , Factores de Riesgo , Zoonosis/transmisiónRESUMEN
INTRODUCTION: Mediterranean-spotted fever (MSF) is endemic in the Mediterranean basin. The aim of our study is to describe clinical and laboratory characteristics of MSF in Algeria. METHODS: Retrospective study of 34 children suffering from MSF hospitalized from 2002 to 2005. Diagnosis and outcome data were abstracted from patient medical reports. The serological confirmation was obtained by immunofluorescent antibody. RESULTS: All the children were hospitalized during summer time. The median age was 4.5 years. The sex ratio in the children was 0.76. Clinical features were high fever, maculopapulous rash and black eschar. Among analytical findings, leucocyte count was decreased in 50% of children during the first week of illness. The indirect immunofluorescence for Rickettsia conorii was positive in 70% of cases in the second determination. All received antimicrobial therapy. All children cured without complications. CONCLUSION: MSF is a mild rickettsial disease in Algeria.
Asunto(s)
Fiebre Botonosa/diagnóstico , Adolescente , Distribución por Edad , Argelia , Niño , Preescolar , Diagnóstico Diferencial , Femenino , Humanos , Lactante , Recién Nacido , Masculino , Estudios RetrospectivosRESUMEN
BACKGROUND: Human urinary myiasis is caused by fly larvae which complete their entire cycle in the human body. CASE REPORT: A 37-year-old woman living in a village near Sidi Bel Abbes (Algeria) developed a parasite syndrome caused by Fannia canicularis larvae. About twenty larvae specimens were collected during her hospitalization. Larvae were emitted for 2 weeks after a 6-day treatment with cefotaxime for urinary tract infection. DISCUSSION: Urogenital myiasis is almost always subsequent to conditions of poor personal hygiene. In this case authentic larvae infestation was evidenced. The diagnosis of true urinary myiasis was confirmed by repeated emissions of different larval stages including the nymph.
