Atypical fulminant Rickettsia rickettsii infection (Brazilian spotted fever) presenting as septic shock and Adult Respiratory Distress Syndrome
Document title: Atypical fulminant Rickettsia rickettsii infection (Brazilian spotted fever) presenting as septic shock and Adult Respiratory Distress Syndrome
Journal: The brazilian journal of infectious diseases
Database: PERIÓDICA
System number: 000290720
ISSN: 1413-8670
Authors: 1
2
3
4
Institutions: 1Universidade Federal de Minas Gerais, Faculdade de Medicina de Barbacena, Belo Horizonte, Minas Gerais. Brasil
2Hospital Monte Sinai, Juiz de Fora, Minas Gerais. Brasil
3Hospital Santa Casa de Misericordia, Juiz de Fora, Minas Gerais. Brasil
4Universidade de Sao Paulo, Faculdade de Medicina, Sao Paulo. Brasil
Year:
Season: Abr
Volumen: 6
Number: 2
Pages: 91-96
Country: Brasil
Language: Inglés
Document type: Artículo
Approach: Caso clínico, analítico
English abstract 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
Disciplines: Medicina
Keyword: Microbiología,
Neumología,
Salud pública,
Rickettsia rickettsii,
Fiebre maculosa brasileña,
Sepsis,
Síndrome de distrés respiratorio
Keyword: Medicine,
Microbiology,
Pneumology,
Public health,
Rickettsia rickettsii,
Brazilian spotted fever,
Sepsis,
Respiratory distress syndrome
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