[Mediterranean spotted fever in childhood. Prospective study of 130 cases].
Authors present a prospective study of 130 cases of Mediterranean spotted fever treated between 1983 and 1985 in two Departments of Paediatrics of the Valles Occidental, area near Barcelona. Thirty-eight percent of the children came from suburban areas, an urban areas, an urban or rural origin being less frequent. Previous contacts with dogs existed in 86% of the cases. Most frequent clinical signs were fever (100%) maculo-papular rash (97%) and arthromyalgias (70%). The "tache noire" was found in 87% of the cases. Presence of arthritis in two patients is underlined. Indirect immunofluorescence to Rickettsia conorii was positive (much greater than 1/40) in 75% of the cases. All patients improved after treatment with tetracycline or erythromycin. There were no relapse.
López Parés
P
P
Hospital de San Lázaro, Tarrasa, Barcelona.
Muñoz Espín
T
T
Espejo Arenas
E
E
Font Creus
B
B
Segura Porta
F
F
Martínez Vila
I
I
Travería Casanova
J
J
Bella Cueto
F
F
D000293:Adolescent; D001907:Boutonneuse Fever / Q000150:complications / Q000188:drug therapy / Q000453:epidemiology* / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D004917:Erythromycin / Q000627:therapeutic use; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D011446:Prospective Studies; D011897:Random Allocation; D013030:Spain; D013752:Tetracycline / Q000627:therapeutic use
D004917:Erythromycin; D013752:Tetracycline
Fiebre botonosa mediterránea en la infancia. Estudio prospectivo de 130 casos.