title: [A 2-month-old baby with Mediterranean spotted fever].
abstract: BACKGROUND
  Mediterranean spotted fever is an endemic rickettsiosis in southern France. We report here the case of a 2-month-old baby who developed rickettsiosis after a tick bite.
  A 2-month-old baby was hospitalized in the pediatric ward for fever with maculopapular rash extending to the palms and plantar surfaces and an eschar after a tick bite. Rickettsiosis serology examined after 48 h of fever was negative, but Rickettsia (spotted group) PCR taken from the lesion at the bite site was positive. A 1-week treatment with clarithromycin was started. Fever and rash disappeared 3 days after treatment initiation.
  
  
  CONCLUSIONS
  Mediterranean spotted fever is endemic in southern France. It is, therefore, important to consider this diagnosis and search for tick bite signs or an eschar when a patient presents with fever and maculopapular rash. The treatment of choice consists in doxycycline or macrolides.
  
  
  CONCLUSIONS
  Around the Mediterranean sea in particular, Mediterranean spotted fever should be considered as a possible cause of febrile disease with rash, to allow for a specific antibiotic treatment as fast as possible and to avoid dangerous complications, even though few cases have been reported below the age of 3 months.
authors.affiliation: Service de pédiatrie, centre hospitalier de Perpignan, 20, avenue du Languedoc, 66046 Perpignan cedex 9, France. Electronic address: paulinemeslin@gmail.com.
authors.forename: P
authors.initials: P
authors.lastname: Meslin
authors.affiliation: Service de pédiatrie, centre hospitalier de Perpignan, 20, avenue du Languedoc, 66046 Perpignan cedex 9, France.
authors.forename: M-C
authors.initials: MC
authors.lastname: Renoux
authors.affiliation: Service de pédiatrie, centre hospitalier de Perpignan, 20, avenue du Languedoc, 66046 Perpignan cedex 9, France.
authors.forename: C
authors.initials: C
authors.lastname: Manin
authors.affiliation: Service de pédiatrie, centre hospitalier de Perpignan, 20, avenue du Languedoc, 66046 Perpignan cedex 9, France.
authors.forename: P
authors.initials: P
authors.lastname: Wendremaire
authors.affiliation: Service de pédiatrie, centre hospitalier de Perpignan, 20, avenue du Languedoc, 66046 Perpignan cedex 9, France.
authors.forename: D
authors.initials: D
authors.lastname: Rosselini
authors.affiliation: Service de pédiatrie, centre hospitalier de Perpignan, 20, avenue du Languedoc, 66046 Perpignan cedex 9, France.
authors.forename: A
authors.initials: A
authors.lastname: Tambat
authors.affiliation: Service de pédiatrie, centre hospitalier de Perpignan, 20, avenue du Languedoc, 66046 Perpignan cedex 9, France.
authors.forename: C
authors.initials: C
authors.lastname: Tiprez
authors.affiliation: Service de pédiatrie, centre hospitalier de Perpignan, 20, avenue du Languedoc, 66046 Perpignan cedex 9, France.
authors.forename: M
authors.initials: M
authors.lastname: Akhdar
mesh_terms: D000818:Animals; D001907:Boutonneuse Fever / Q000175:diagnosis / Q000209:etiology*; D019353:Endemic Diseases; D005602:France; D006801:Humans; D007223:Infant; D008297:Male; D064927:Tick Bites / Q000150:complications*