[Icteric Fort Bragg fever: a case report with nosological discussion].
BACKGROUND
Ictero-hemorrhagic leptospirosis is an endemic disease in France. Weil's disease, a form of leptospirosis, is well known. Fort Bragg fever is characterized by a constant pretibial papular lesion. First described in the USA, this non icteric form of leptospirosis is usually benign. We report the first French case of a mixed form of leptospirosis.


METHODS
A 52-year-old man living in South East France suffered from fever and myalgias associated with a pretibial papular lesion. A severe icterus appeared and permitted a diagnosis of leptospirosis.


CONCLUSIONS
Our case recalls the clinical presentation of Fort Bragg fever, which is recognized through its inflammatory pretibial lesion associated or not with icterus.
Serratrice
J
J
Service de médecine interne, CHU de la Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France.
Ené
N
N
de Roux-Serratrice
C
C
Granel
B
B
Igual
J-P
JP
Drancourt
M
M
Petit
P
P
Disdier
P
P
Weiller
P-J
PJ
D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D001663:Bilirubin / Q000097:blood; D003937:Diagnosis, Differential; D006801:Humans; D007565:Jaundice / Q000097:blood / Q000150:complications / Q000175:diagnosis; D007922:Leptospirosis / Q000097:blood / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D010400:Penicillin G / Q000008:administration & dosage / Q000627:therapeutic use; D009626:Terminology as Topic; D013997:Time Factors; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D010400:Penicillin G; D001663:Bilirubin