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Arthritis in Mediterranean spotted fever

Arthritis bei Mittelmeer-Fleckfieber

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Summary

Although arthralgia is a common complaint in Mediterranean spotted fever, frank arthritis is very unusual. We report two cases of this condition during the course of Mediterranean spotted fever. Synovial fluid was inflammatory in both patients and the disease resolved after doxycycline therapy. Immunofluorescence test forRickettsia conorii in synovial fluid was negative, suggesting a reactive arthritis.

Zusammenfassung

Gelenkschmerzen treten bei Mittelmeer-Fleckfieber häufig auf, doch kommt es sehr selten zur Arthritis, wie in zwei Fällen berichtet wird. Bei beiden Patienten war die Gelenkflüssigkeit entzündlich verändert; Doxycyclin-Therapie führte zur Heilung.Rickettsia conorii konnte immunfluoreszenzmikroskopisch nicht in der Gelenkflüssigkeit nachgewiesen werden, was auf eine reaktive Arthritis schließen läßt.

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Authors and Affiliations

  1. Department of Medicine, Hospital del Mar, Universidad Autónoma de Barcelona, Paseo Marítimo 25–29, E-08003, Barcelona, Spain

    J. Pedro-Botet M.D., T. Auguet M.D., O. Pallás M.D. & J. L. Gimeno M.D.

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  1. J. Pedro-Botet M.D.
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  2. T. Auguet M.D.
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  3. O. Pallás M.D.
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  4. J. L. Gimeno M.D.
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Pedro-Botet, J., Auguet, T., Pallás, O. et al. Arthritis in Mediterranean spotted fever. Infection 19, 346–347 (1991). https://doi.org/10.1007/BF01645364

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  • DOI: https://doi.org/10.1007/BF01645364

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