title: [Mediterranean spotted fever in childhood. Prospective study of 130 cases].
abstract: 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.
authors.affiliation: Hospital de San Lázaro, Tarrasa, Barcelona.
authors.forename: P
authors.initials: P
authors.lastname: López Parés
authors.forename: T
authors.initials: T
authors.lastname: Muñoz Espín
authors.forename: E
authors.initials: E
authors.lastname: Espejo Arenas
authors.forename: B
authors.initials: B
authors.lastname: Font Creus
authors.forename: F
authors.initials: F
authors.lastname: Segura Porta
authors.forename: I
authors.initials: I
authors.lastname: Martínez Vila
authors.forename: J
authors.initials: J
authors.lastname: Travería Casanova
authors.forename: F
authors.initials: F
authors.lastname: Bella Cueto
mesh_terms: 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
chemical_list: D004917:Erythromycin; D013752:Tetracycline
vernacular_title: Fiebre botonosa mediterránea en la infancia. Estudio prospectivo de 130 casos.