Objective: To describe a rare case of acute Q fever with tache noire. Clinical Presentation and Intervention: A 51-year-old man experienced acute Q fever showing tache noire, generally considered a pathognomonic sign of Mediterranean spotted fever (MSF) and MSF-like illness, but not a clinical feature of Q fever. The patient was treated with doxycycline 100 mg every 12 h. Conclusion: In the Mediterranean area, tache noire should be considered pathognomonic of MSF but it should not rule out Q fever. Clinical diagnosis should be supported by accurate laboratory diagnostic tests to guide proper management.
Tache Noire in a Patient with Acute Q Fever / Fiore, V., Mancini, F., Ciervo, A., Bagella, P., Peruzzu, F., Nunnari, G., Deiana, G.A., Rezza, G., Babudieri, S., Madeddu, G.. - In: MEDICAL PRINCIPLES AND PRACTICE. - ISSN 1423-0151. - 27:1(2018), pp. 92-94. [10.1159/000486573]
Tache Noire in a Patient with Acute Q Fever
Rezza G.;
2018-01-01
Abstract
Objective: To describe a rare case of acute Q fever with tache noire. Clinical Presentation and Intervention: A 51-year-old man experienced acute Q fever showing tache noire, generally considered a pathognomonic sign of Mediterranean spotted fever (MSF) and MSF-like illness, but not a clinical feature of Q fever. The patient was treated with doxycycline 100 mg every 12 h. Conclusion: In the Mediterranean area, tache noire should be considered pathognomonic of MSF but it should not rule out Q fever. Clinical diagnosis should be supported by accurate laboratory diagnostic tests to guide proper management.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
