Journal of Antimicrobial Agents

Mouna ELFane

Publications

• Case Report
  Mediterranean Spotted Fever with an Acute Pancreatitis
  Author(s): Mouna ELFane, Mustapha Sodqi, Sanae Jebbar, Hanane Badi, Latifa Marih, Abdelfattah Chakib and Kamal Marhoum ElFilaliMouna ELFane, Mustapha Sodqi, Sanae Jebbar, Hanane Badi, Latifa Marih, Abdelfattah Chakib and Kamal Marhoum ElFilali
  
  Mediterranean spotted fever (MSF) is a tick-borne acute febrile disease caused by Rickettsia conorii characterized by fever, maculo-papular rash and a black eschar at the site of the tick bite (tache noire). Acute pancreatitis is a rare complication of MSF. We report a 45 year old man admitted with fever, maculopapular rash, and eschar (tache noire). The working diagnosis at admission was MSF. Five day after admission, the patient developed signs of an acute abdomen, amylase and lipase elevation, and ultrasound hypoechoic pancreas. CT scan revealed a stage B pancreatitis. An immunofluorescence antibody test confirmed Rickettsia conorii infection. Diagnosis of MSF was made and treatment with oral doxycycline was started. After five days of therapy, there was completed remission of epigastric pain and fever. Gastrointestinal and hepatic complications are described in association with MS.. Read More»
  DOI: 10.4172/2472-1212.1000129

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