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Atypical fulminant Rickettsia rickettsii infection (Brazilian spotted fever) presenting as septic shock and adult respiratory distress syndrome
Costa, Paulo Sérgio Gonçalves da; Brigatte, Marcos Emílio; Almeida, Edmilton Pereira de; Valle, Lena Márcia de Carvalho.
  • Costa, Paulo Sérgio Gonçalves da; Federal University of Minas Gerais. Belo Horizonte. BR
  • Brigatte, Marcos Emílio; Barbacena Medical School. BR
  • Almeida, Edmilton Pereira de; Santa Casa de Misericórdia Hospital. Juiz de Fora. BR
  • Valle, Lena Márcia de Carvalho; University of São Paulo. Faculty of Medicine. BR
Braz. j. infect. dis ; 6(2): 91-96, Apr. 2002.
Article in English | LILACS | ID: lil-332304
Responsible library: BR1.1
RESUMO
Brazilian spotted fever, caused by Rickettsia rickettsii, has been increasingly reported in Brazil especially in the southeastern states. The severe and fulminant forms of the disease are not unusual but most of the reported fatal cases have shown some typical clinical clue, which leads the attending physician to a correct diagnosis. We report a probable case of atypical fulminant Brazilian spotted fever that presented full-blown septic shock associated with Adult Respiratory Distress Syndrome (ARDS) and delayed uncharacteristic rash with an over four-fold increase in reciprocal IgM, but not IgG titer against Rickettsia rickettsii. Brazilian practitioners should be aware of the possibility of Brazilian spotted fever as a cause of fulminant primary sepsis with ARDS; improved laboratory methods are necessary for the rapid diagnosis of such cases.
Subject(s)
Full text: Available Index: LILACS (Americas) Main subject: Respiratory Distress Syndrome / Rickettsia rickettsii / Rickettsiaceae Infections / Shock, Septic Type of study: Case report Limits: Adolescent / Humans / Male Country/Region as subject: South America / Brazil Language: English Journal: Braz. j. infect. dis Journal subject: Communicable Diseases Year: 2002 Type: Article Affiliation country: Brazil Institution/Affiliation country: Barbacena Medical School/BR / Federal University of Minas Gerais/BR / Santa Casa de Misericórdia Hospital/BR / University of São Paulo/BR

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Full text: Available Index: LILACS (Americas) Main subject: Respiratory Distress Syndrome / Rickettsia rickettsii / Rickettsiaceae Infections / Shock, Septic Type of study: Case report Limits: Adolescent / Humans / Male Country/Region as subject: South America / Brazil Language: English Journal: Braz. j. infect. dis Journal subject: Communicable Diseases Year: 2002 Type: Article Affiliation country: Brazil Institution/Affiliation country: Barbacena Medical School/BR / Federal University of Minas Gerais/BR / Santa Casa de Misericórdia Hospital/BR / University of São Paulo/BR