Atypical fulminant Rickettsia rickettsii infection (Brazilian spotted fever) presenting as septic shock and adult respiratory distress syndrome
Braz. j. infect. dis
;
6(2): 91-96, Apr. 2002.
Artículo
en Inglés
| LILACS
| ID: lil-332304
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.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Síndrome de Dificultad Respiratoria
/
Rickettsia rickettsii
/
Infecciones por Rickettsiaceae
/
Choque Séptico
Tipo de estudio:
Estudio diagnóstico
Límite:
Adolescente
/
Humanos
/
Masculino
País/Región como asunto:
America del Sur
/
Brasil
Idioma:
Inglés
Revista:
Braz. j. infect. dis
Asunto de la revista:
Enfermedades Transmisibles
Año:
2002
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
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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