0
September 1990, Vol 144, No. 9 >
Article | September 1990

Mediterranean Spotted Fever in Children Returning From France FREE

Thomas L. Treadwell, MD; Scott D. Phillips, MD; William J. Jablonski, MD
[+] Author Affiliations

Accepted for publication November 9, 1989.

Reprint requests to Framingham Union Hospital, 115 Lincoln St, Framingham, MA 01701 (Dr Treadwell).


Am J Dis Child. 1990;144(9):1037-1038. doi:10.1001/archpedi.1990.02150330097030.
Text Size: A A A
Published online
Article
References
Comments

• Although the incidence of Mediterranean spotted fever has increased dramatically in parts of Europe, Africa, and Asia, the disease is only rarely seen in travelers. We describe two children who had traveled in southern France and subsequently had rash and lymphadenopathy develop. Both children were treated with doxycycline and had unequivocal serologic evidence of Mediterranean spotted fever develop. Although this disease is usually mild, in the absence of a tick bite the disease can easily be confused with other febrile exanthems. We describe these patients to reemphasize the influence that international travel has brought to pediatrics.

(AJDC. 1990;144:1037-1038)

REFERENCES

1 +
Font-Creus B, Bella-Cueto F, Espejo-Arenas E, et al.  Mediterranean spotted fever: a cooperative study of 227 cases . Rev Infect Dis . 1985;;7:635-642.
2 +
Anderson J, Magnarelli L, Burgdorfer W, et al.  Importation into the United States from Africa of Rhipicephalus simus on a Boutonneuse fever patient . Am J Trop Med Hyg . 1981;;30:897-899.
3 +
Barrett-Connor E, Ginsberg M.  Imported South African tick typhus . West J Med . 1983;;138:264-266.
4 +
Moraga F, Martinez-Roig A, Alonso J, et al.  Boutonneuse fever . Arch Dis Child . 1982;;57:149-151.
5 +
Raoult D, deMicco C, Gallais H, et al.  Laboratory diagnosis of Mediterranean spotted fever by immunofluorescent demonstration of Rickettsia conorii in cutaneous lesions . J Infect Dis . 1984;; 150:145-148.
6 +
Huys J, Freyens P, Kayihigi J, et al.  Treatment of epidemic typhus: a comparative study of chloramphenicol, trimethoprim-sulfamethoxazole, and doxycycline . Trans R Soc Trop Med Hyg . 1973;; 67:718-721.
7 +
Tringali G, Intonazzo V, Perna A, et al.  Epidemiology of Boutonneuse fever in western Sicily . Am J Epidemiol . 1986;;123:721-727.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Font-Creus B, Bella-Cueto F, Espejo-Arenas E, et al.  Mediterranean spotted fever: a cooperative study of 227 cases . Rev Infect Dis . 1985;;7:635-642.
2 +
Anderson J, Magnarelli L, Burgdorfer W, et al.  Importation into the United States from Africa of Rhipicephalus simus on a Boutonneuse fever patient . Am J Trop Med Hyg . 1981;;30:897-899.
3 +
Barrett-Connor E, Ginsberg M.  Imported South African tick typhus . West J Med . 1983;;138:264-266.
4 +
Moraga F, Martinez-Roig A, Alonso J, et al.  Boutonneuse fever . Arch Dis Child . 1982;;57:149-151.
5 +
Raoult D, deMicco C, Gallais H, et al.  Laboratory diagnosis of Mediterranean spotted fever by immunofluorescent demonstration of Rickettsia conorii in cutaneous lesions . J Infect Dis . 1984;; 150:145-148.
6 +
Huys J, Freyens P, Kayihigi J, et al.  Treatment of epidemic typhus: a comparative study of chloramphenicol, trimethoprim-sulfamethoxazole, and doxycycline . Trans R Soc Trop Med Hyg . 1973;; 67:718-721.
7 +
Tringali G, Intonazzo V, Perna A, et al.  Epidemiology of Boutonneuse fever in western Sicily . Am J Epidemiol . 1986;;123:721-727.

Correspondence

Submit a Letter
CME
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Clear Answers | Save For Later
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Compression-Only CPR: Pushing the Science Forward
Cone
AAM 2010;304:1493-1495.
All you need to read in the other general journals
BMJ 2010;341:c5893-c1494.
Submit a Comment

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

© 2013 American Medical Association. All Rights Reserved.
Powered bySilverchair Information Systems