Boutonneuse fever
Boutonneuse fever
Classification & external resources
| ICD-10 |
A77.1 |
| ICD-9 |
082.1 |
| DiseasesDB |
31780 |
| MeSH |
D001907 |
Boutonneuse fever (also called Mediterranean spotted fever, fièvre boutonneuse, or Marseilles fever) is a fever as a result of a Rickettsial infection caused by the bacterium Rickettsia conorii and transmitted by the dog tick Rhipicephalus sanguineus. Boutonneuse fever is endemic in many countries surrounding the Mediterranean Sea.
Presentation
After an incubation period of around seven days, the disease manifests abruptly with chills, high fevers, muscular and articular pains, severe headache and photophobia. The location of the bite forms a black crust (tache noire). Around the fourth day of the illness an exanthem (widespread rash) appears, first macular and then maculopapular and sometimes petechial.
Diagnosis
The diagnosis is made with serologic methods, either the classic Weill Felix test (agglutination of Proteus OX strains ), either ELISA or immunofluorescence assays.
Treatment
The illness is treated with chloramphenicol or doxycycline.
See also
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Bacterial diseases (primarily A00-A79, 001-041,080-109) |
| G+/Firmicutes |
Clostridium (Pseudomembranous colitis, Botulism, Tetanus, Gas gangrene) - Streptococcus A and B (Scarlet fever, Erysipelas) - Staphylococcus (Toxic shock syndrome) - Bacilli (Anthrax, Listeriosis) |
| G+/Actinobacteria |
Mycobacterium: Tuberculosis (Ghon focus, Ghon's complex, Tuberculous meningitis, Pott's disease, Scrofula, Bazin disease, Lupus vulgaris, Miliary tuberculosis) - Leprosy - Lady Windermere syndrome - Buruli ulcer -
Actinomycetales: Actinomycosis - Nocardiosis - Diphtheria - Erythrasma |
| G-/Spirochetal |
Syphilis (Bejel) - Yaws - Pinta - Relapsing fever - Noma - Trench mouth - Lyme disease - Rat-bite fever (Sodoku) - Leptospirosis |
| G-/Chlamydiae |
Chlamydophila (Psittacosis) - Chlamydia (Chlamydia, Lymphogranuloma venereum, Trachoma) |
| G-/α Proteobacteria |
Rickettsioses (Typhus, Scrub typhus, Rocky Mountain spotted fever, Boutonneuse fever, Q fever, Trench fever, Rickettsialpox) - Brucellosis - Cat scratch fever
Bartonellosis (Bacillary angiomatosis) |
| G-/β&γ Proteobacteria |
Salmonella (Typhoid fever, Paratyphoid fever, Salmonellosis) - other intestinal (Cholera, Shigellosis) - Zoonotic (Bubonic plague, Tularemia, Glanders, Melioidosis, Pasteurellosis) - Other: Pertussis - Meningococcus (Meningococcemia, Waterhouse-Friderichsen syndrome) - Legionellosis - Brazilian purpuric fever - Chancroid - Donovanosis - Gonorrhea |
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