Severe Rickettsiosis with Neuromeningeal Involvement : About a Case with Review of the Literature
Aziz Benakrout *
Department of Anesthesiology and Intensive Care, 5° Medico Surgical center, Errachidia, Morocco.
Ismail Aissa
Department of Anesthesiology and Intensive Care, Faculty of Medicine and Pharmacy of Rabat, Military Hospital Mohammed V, Mohammed V University, Rabat, Morocco.
Abdellatif Chlouchi
Department of Anesthesiology and Intensive Care, Faculty of Medicine and Pharmacy of Rabat, Military Hospital Mohammed V, Mohammed V University, Rabat, Morocco.
Said Khallikane
Department of Anesthesiology and Intensive Care, Faculty of Medicine and Pharmacy of Rabat, Military Hospital Mohammed V, Mohammed V University, Rabat, Morocco.
Hicham Kechna
Department of Anesthesiology and Intensive Care, Faculty of Medicine and Pharmacy of Fès, Military Hospital Moulay Ismail Meknès, Sidi Mohamed ben Abdellah University, Fes, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Mediterranean spotted fever (MSF) is a rickettsial disease of the spotted group caused by rickettsia conorii. This zoonosis is known to have a benign course but can be complicated in severe forms by neurological damage, which sometimes makes it so serious. We report an observation of a 45-year-old female patient, who presented with headaches, vomiting evolving in a febrile context, in whom the clinical examination showed an inoculation chancre associated with diffuse skin lesions, a sub-stiff neck, the lumbar puncture showed a lymphocytic meningitis, after the administration of doxycycline the evolution was favorable.
Keywords: Rickettsiosis, skin rash, inoculation chancre, fever, meningitis