title: [Mediterranean boutonneuse fever disclosed by severe neurological involvement].
abstract: The authors report a case of mediterranean boutonneuse fever disclosed in a 6 year-old child presenting with severe neurological disorder, coma, hypotonia, sphincteral disorders, rash and eschar at the site of bite. Rise of antibodies detected by indirect immunofluorescence test (1/80----1/320) confirmed the diagnosis. Visualization of ischemic internal capsules at cerebral CT scan brought evidence of vascular lesions in rickettsial disease.
authors.affiliation: Service de Pédiatrie II, Hôpital d'Enfants, Rabat, Maroc.
authors.forename: B
authors.initials: B
authors.lastname: Benhammou
authors.forename: A
authors.initials: A
authors.lastname: Balafrej
authors.forename: N
authors.initials: N
authors.lastname: Mikou
mesh_terms: D001907:Boutonneuse Fever / Q000150:complications*; D002545:Brain Ischemia / Q000000981:diagnostic imaging / Q000209:etiology*; D002648:Child; D003128:Coma / Q000000981:diagnostic imaging / Q000209:etiology*; D005242:Fecal Incontinence / Q000209:etiology; D006801:Humans; D008297:Male; D009187:Myelitis / Q000150:complications / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014549:Urinary Incontinence / Q000209:etiology
vernacular_title: Fièvre boutonneuse méditerranéenne révélée par une atteinte neurologique grave.