Cerebral infarction: an unusual complication of Mediterranean spotted fever.
Mediterranean spotted fever is a rickettsiosis caused by Rickettsia conorii and transmitted by the brown dog tick. It is considered as a benign disease but 5% to 10% of patients present with a malignant form which is the result of a diffuse vasculitis. We report here the first case of Mediterranean spotted fever with cerebral vasculitis and thrombosis leading to a massive cerebral infarct and death.
Botelho-Nevers
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E
Service des Maladies Infectieuses et Tropicales, Hôpital Nord, Chemin des Bourrelys, 13915 Marseille Cedex 20, France.
Foucault
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C
Lepidi
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H
Brouqui
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P