title: A case of acute quadriplegia complicating Mediterranean spotted fever.
abstract: Mediterranean spotted fever is a rickettsiosis caused by Rickettsia conorii. Mediterranean spotted fever is considered to be a benign disease, however, approximately 10% of patients present with a severe systemic manifestation in which neurologic involvement occurs. We present a case of an 80-year-old man with a R. conorii infection who developed an acute quadriplegia secondary to an axonal polyneuropathy. The characteristic tache noire was observed on the lateral region of the thigh and elevated IgM antibody titres against R. conorii were detected by an indirect immunofluorescence test.
authors: Institute of Anaesthesiology, Reanimation and Intensive Care Medicine, University Magna Graecia, Catanzaro, Italy. askatasuna17@libero.it
authors: Santo
authors: S
authors: Caroleo
authors: Chiara
authors: C
authors: Longo
authors: Domenico
authors: D
authors: Pirritano
authors: Rita
authors: R
authors: Nisticò
authors: Paola
authors: P
authors: Valentino
authors: Maurizio
authors: M
authors: Iocco
authors: Ermenegildo
authors: E
authors: Santangelo
authors: Bruno
authors: B
authors: Amantea
mesh_terms: D000369:Aged, 80 and over; D001907:Boutonneuse Fever / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D003422:Critical Care; D003937:Diagnosis, Differential; D004318:Doxycycline / Q000008:administration & dosage; D004576:Electromyography / Q000187:drug effects; D005500:Follow-Up Studies; D020275:Guillain-Barre Syndrome / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D009460:Neurologic Examination / Q000187:drug effects; D011782:Quadriplegia / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D012131:Respiratory Insufficiency / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology
chemical_list: D004318:Doxycycline