title: Severe Israeli spotted fever with multiorgan failure in a child.
abstract: An increased risk of severe and fatal Israeli spotted fever (ISF) has been observed in adults, mostly associated with ISF strain. Here, we report a case of severe ISF with multiorgan failure in a Portuguese child.
authors.affiliation: Dona Estefânia Hospital, Rua Jacinta Marto, 1169-045 Lisbon, Portugal. Electronic address: sofiarbota@gmail.com.
authors.forename: Sofia
authors.initials: S
authors.lastname: Bota
authors.affiliation: National Institute of Health Dr Ricardo Jorge, Av. da Liberdade, 5, 2965-575 Águas de Moura, Setúbal, Portugal.
authors.forename: Rita
authors.initials: R
authors.lastname: de Sousa
authors.affiliation: Dona Estefânia Hospital, Rua Jacinta Marto, 1169-045 Lisbon, Portugal.
authors.forename: Margarida
authors.initials: M
authors.lastname: Santos
authors.affiliation: Dona Estefânia Hospital, Rua Jacinta Marto, 1169-045 Lisbon, Portugal.
authors.forename: Luís
authors.initials: L
authors.lastname: Varandas
authors.affiliation: Dona Estefânia Hospital, Rua Jacinta Marto, 1169-045 Lisbon, Portugal.
authors.forename: Catarina F
authors.initials: CF
authors.lastname: Gouveia
mesh_terms: D001425:Bacterial Outer Membrane Proteins / Q000235:genetics; D001907:Boutonneuse Fever / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology; D002648:Child; D004269:DNA, Bacterial / Q000737:chemistry / Q000235:genetics; D005260:Female; D005970:Glutamate Synthase / Q000235:genetics; D006801:Humans; D009102:Multiple Organ Failure / Q000209:etiology* / Q000473:pathology*; D011174:Portugal; D020114:Rickettsia conorii / Q000235:genetics / Q000302:isolation & purification*; D017422:Sequence Analysis, DNA
chemical_list: D001425:Bacterial Outer Membrane Proteins; D004269:DNA, Bacterial; C078167:OMPA outer membrane proteins; D005970:Glutamate Synthase
keywords: Israeli spotted fever; Multiorgan failure; Portugal; Rickettsia conorii Israeli spotted fever strain