Mediterranean spotted fever with encephalitis.
Rickettsia conorii infection is endemic in the Mediterranean basin, where it is known as Mediterranean spotted fever, also known as Boutonneuse fever and Marseilles fever. We report the case of a 66-year-old diabetic man who presented a severe form of the disease, complicated by acute renal failure, thrombocytopenia and encephalitis. Diagnosis was confirmed by indirect immunofluorescence assay. Despite appropriate treatment, severe neurological sequelae have remained. Medical literature on encephalitis caused by R. conorii is also reviewed.
Aliaga
Luis
L
Faculty of Medicine (University of Granada), Hospital Universitario Virgen de las Nieves, Avda Fuerzas Armadas, s/n, 18014 Granada, Spain.
Sánchez-Blázquez
Patricia
P
Faculty of Medicine (University of Granada), Hospital Universitario Virgen de las Nieves, Avda Fuerzas Armadas, s/n, 18014 Granada, Spain.
Rodríguez-Granger
Javier
J
Service of Microbiology, Hospital Universitario Virgen de las Nieves, Avda Fuerzas Armadas, s/n, 18014 Granada, Spain.
Sampedro
Antonio
A
Service of Microbiology, Hospital Universitario Virgen de las Nieves, Avda Fuerzas Armadas, s/n, 18014 Granada, Spain.
Orozco
Miguel
M
Faculty of Medicine (University of Granada), Hospital Universitario Virgen de las Nieves, Avda Fuerzas Armadas, s/n, 18014 Granada, Spain.
Pastor
Jorge
J
Service of Radiology, Hospital Universitario Virgen de las Nieves, Avda Fuerzas Armadas, s/n, 18014 Granada, Spain.
D000368:Aged; D001907:Boutonneuse Fever / Q000150:complications*; D001921:Brain / Q000473:pathology; D048909:Diabetes Complications / Q000382:microbiology; D004660:Encephalitis / Q000150:complications* / Q000382:microbiology / Q000473:pathology; D006801:Humans; D008297:Male; D051437:Renal Insufficiency / Q000150:complications