Mediterranean spotted fever presenting as an acute pancreatitis |
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Authors: | Rombola Ferdinando |
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Affiliation: | Emergency Unit, "Beato Angelo" Hospital, Acri, Cosenza, Italy and Internal and Emergency Medicine Unit, Vibo Valentia Hospital, Italy. f.rombola@alice.it |
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Abstract: | Mediterranean spotted fever (MSF) is an infectious disease, caused by Rickettsia conorii. It can have a serious course, even deadly, with many types of complications. Described is a case of a 70-year-old man, hospitalized for fever, abdominal pain, amylase and lipase elevation, and ultrasound hypoechoic pancreas. The working diagnosis at admission was acute pancreatitis. 2 days after admission, the patient developed signs of MSF: fever, maculopapular rash, and "tache noire". Treatment with oral doxycycline was started. After 5 days of therapy, there was complete remission of epigastric pain and fever. Gastrointestinal and hepatic complications are described in association with Mediterranean spotted fever. Much more rare is pancreatic involvement. |
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