Mediterranean spotted fever as a non-endemic disease in the southeast of Iran: Diagnosis and treatment based on specific skin lesion.

Abstract

Key Clinical Message:

Rickettsia spp. should be investigated if Tache Noire, as a dark plaque covering a superficial ulcer surrounded by scale, edema, and erythema, are observed, even in non-endemic areas of Rickettsia spp.

Abstract:

A 31-year-old man with fever, dyspnea, abdominal pain, and jaundice has been admitted to the hospital in the southeast of Iran. Due to the presence of a pathognomonic skin lesion (Tache noire), the patient was diagnosed with Mediterranean spotted fever (MSF) and was treated with doxycycline, without waiting for PCR and IFA findings.

• Authors: Mehrdad Farrokhnia, Sara Shafieipour, Mohsen Nakhaie, Mohammad Rezaei Zadeh Rukerd
• Journal: Clinical case reports (Clin Case Rep) Vol. 11 Issue 6 Pg. e7577 (Jun 2023) ISSN: 2050-0904 [Print] England
• PMID: 37334342 (Publication Type: Case Reports)
• Copyright: © 2023 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.