ABSTRACT
We report a case of rickettsiosis caused by Rickettsia monacensis in an immunocompetent 67-year-old man in Portugal who had eschar, erythematous rash, and an attached Ixodes ricinus tick. Seroconversion and eschar biopsy led to confirmed diagnosis by PCR. Physicians should be aware of this rare rickettsiosis, especially in geographic regions with the vector.
Subject(s)
Ixodes , Rickettsia Infections , Rickettsia , Aged , Animals , Humans , Ixodes/microbiology , Male , Portugal , Rickettsia/genetics , Rickettsia Infections/diagnosis , Rickettsia Infections/drug therapy , Rickettsia Infections/microbiologyABSTRACT
Gastrointestinal bleeding related to Kaposis Sarcoma is rare in AIDS patients; the etiology of anemia is usually multifactorial. We describe the case of a HIV infected, 53 year old patient with refractory anemia requiring frequent transfusion support. He was a patient with multiple complications and recent introduction of drugs that could justify myelosuppression and anemia. Due to inconclusive endoscopic examinations, the appearance of melena was the clue of the investigation, which concluded in the diagnosis of duodenal Kaposis Sarcoma. (AU)
