[Neurological feature of Mediterranean spotted fever: a study of four cases].
BACKGROUND
Rickettsia conorii is the etiologic agent of Mediterranean spotted fever that is endemic in Mediterranean.


METHODS
We report four cases of serious form of Mediterranean spotted fever with neurological feature. Two of them 56 and 62 years old had meningoencephalitis. Two others had cerebellitis, they are aged 43 and 56. The course has been favourable with ciprofloxacin.


CONCLUSIONS
It is a benign well-known illness in spite of apparition of severe visceral complications, which can drag the death in 2.5% of cases. Neurological feature is more frequent and present in 28% of cases. Precocious treatment prevents this unfavourable evolution.
Alioua
Z
Z
Service de dermatologie, hôpital militaire d'instruction Mohammed V, BP 1018, Rabat, Maroc. zalioua@hotmail.com
Bourazza
A
A
Lamsyah
H
H
Erragragui
Y
Y
Boudi
O
O
Karouach
K
K
Ghfir
M
M
Mossedaq
R
R
Sedrati
O
O
D000890:Anti-Infective Agents / Q000627:therapeutic use; D001907:Boutonneuse Fever / Q000150:complications* / Q000188:drug therapy; D002493:Central Nervous System Diseases / Q000209:etiology* / Q000382:microbiology*; D002939:Ciprofloxacin / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D020114:Rickettsia conorii / Q000472:pathogenicity*
D000890:Anti-Infective Agents; D002939:Ciprofloxacin