Boutonneuse fever in a child: a case report and overview.
J Indian Med Assoc
;
2004 Mar; 102(3): 170-1, 173
Article
in English
| IMSEAR
| ID: sea-104406
ABSTRACT
A five and half year-old boy presented with an acute febrile illness associated with abdominal pain, generalised myalgia, arthralgia and skin rash. An elder sibling had a similar illness and had expired three days back. Initially crystalline penicillin and chloramphenicol were started. Investigations to diagnose the cause of fever viz, peripheral blood smear for malarial parasite, blood and urine cultures, Widal test and dot-ELISA for leptospirosis were negative. Weil-Felix test revealed a positive OX-2 titre of 1100. Retrospectively, a history of close contact with dogs was elicited and a tick bite mark on the hand detected. Within five days of antibiotic therapy the fever resolved. Chloramphenicol was given totally for two weeks and the child recovered fully. Rickettsial infection should be considered in a child presenting with an acute febrile illness with skin rash since the response to specific antimicrobial therapy is dramatic and life saving.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Humans
/
Male
/
Boutonneuse Fever
/
Child, Preschool
/
Chloramphenicol
/
Diagnosis, Differential
/
Anti-Bacterial Agents
Type of study:
Diagnostic study
Language:
English
Journal:
J Indian Med Assoc
Year:
2004
Type:
Article
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