[Febrile status and exanthema following a trip to the jungle]. / Status febrilis und Exanthem nach Dschungelaufenthalt.
Praxis (Bern 1994)
; 85(19): 636-9, 1996 May 07.
Article
em De
| MEDLINE
| ID: mdl-8693232
ABSTRACT
A 30-year-old female entered the emergency room for medical advice because of progressive deterioration of general health with headache, arthralgias, myalgias and fever after a vacation of three weeks in Malaysia and Hong Kong. Because of persistent fever, lymphadenopathy, slight leuco- and thrombocytopenia and only insignificantly elevated humoral signs of an inflammatory process, the patient was treated symptomatically after exclusion of malaria. A viral disease was suspected. Two days later, an exanthema erupted suddenly on the trunk. Pinhead-sized livid, flat macules, increasing in size within hours and spreading to the extremities, were observed. Further investigations revealed a significantly elevated titer of IgG directed against rickettsia conorii, leading to the diagnosis of Mediterranean spotted fever. Under antibiotic treatment with tetracycline, the aforementioned findings regressed within few days, and the patient recovered completely.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Febre Botonosa
/
Exantema
/
Febre de Causa Desconhecida
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
/
Female
/
Humans
Idioma:
De
Ano de publicação:
1996
Tipo de documento:
Article