title: [One thing begets another].
abstract: In this article the signs and symptoms as well as the course and complications are described of a feverish disease contracted by a fourteen year old boy after spending summer-holidays in the southern part of France. In retrospect this disease could be diagnosed as 'Mediterranean spotted fever' In the same period of these manifestations also a partial loss of sight at one eye occurred; although serology tests of antibody titers were negative, it was attributed to chorioretinitis due to activation of a congenital toxoplasmosis. The course was further complicated by an acute renal insufficiency during treatment of the chorioretinitis with high doses sulfadiazine. A short contemplation on the various clinical syndromes is presented.
authors.affiliation: Kindergeneeskunde, Academisch Ziekenhuis Nijmegen.
authors.forename: H C
authors.initials: HC
authors.lastname: Wijburg
authors.forename: R J
authors.initials: RJ
authors.lastname: Heydendael
mesh_terms: D058186:Acute Kidney Injury / Q000139:chemically induced*; D000293:Adolescent; D000900:Anti-Bacterial Agents; D001907:Boutonneuse Fever / Q000175:diagnosis*; D002825:Chorioretinitis / Q000150:complications* / Q000188:drug therapy / Q000209:etiology; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005335:Fever of Unknown Origin / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008297:Male; D013411:Sulfadiazine / Q000008:administration & dosage / Q000009:adverse effects*; D014126:Toxoplasmosis, Ocular / Q000150:complications / Q000188:drug therapy
chemical_list: D000900:Anti-Bacterial Agents; D013411:Sulfadiazine
vernacular_title: Van het een komt het ander.