Rickettsia conorii subsp. israelensis infection in a pediatric patient presenting skin rash and abdominal pain: a case report from Southeast Iran
Abstract Background The healthcare system in Iran appears to overlook Mediterranean spotted fever (MSF) as an endemic disease, particularly in pediatric cases, indicating the need for greater attention and awareness. Case presentation A six-year-old patient with fever, abdominal pain, headache, skin...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | BMC Infectious Diseases |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12879-024-09002-y |
| _version_ | 1797276668278079488 |
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| author | Ali Hosseininasab Safoura MoradKasani Ehsan Mostafavi Neda Baseri Maryam Sadeghi Saber Esmaeili |
| author_facet | Ali Hosseininasab Safoura MoradKasani Ehsan Mostafavi Neda Baseri Maryam Sadeghi Saber Esmaeili |
| author_sort | Ali Hosseininasab |
| collection | DOAJ |
| description | Abstract Background The healthcare system in Iran appears to overlook Mediterranean spotted fever (MSF) as an endemic disease, particularly in pediatric cases, indicating the need for greater attention and awareness. Case presentation A six-year-old patient with fever, abdominal pain, headache, skin rashes, diarrhea, vomiting, and black eschar (tache noire) from southeast Iran was identified as a rickettsiosis caused by Rickettsia conorii subsp. israelensis through clinical and laboratory assessments, including IFA and real-time PCR. The patient was successfully treated with doxycycline. Conclusions Symptoms like rash, edema, eschar, and abdominal pain may indicate the possibility of MSF during the assessment of acute febrile illness, IFA and real-time PCR are the primary diagnostic methods for this disease. |
| first_indexed | 2024-03-07T15:32:26Z |
| format | Article |
| id | doaj.art-3d30d752141b4d2cb827a508b5248edd |
| institution | Directory Open Access Journal |
| issn | 1471-2334 |
| language | English |
| last_indexed | 2024-03-07T15:32:26Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Infectious Diseases |
| spelling | doaj.art-3d30d752141b4d2cb827a508b5248edd2024-03-05T16:21:09ZengBMCBMC Infectious Diseases1471-23342024-01-012411610.1186/s12879-024-09002-yRickettsia conorii subsp. israelensis infection in a pediatric patient presenting skin rash and abdominal pain: a case report from Southeast IranAli Hosseininasab0Safoura MoradKasani1Ehsan Mostafavi2Neda Baseri3Maryam Sadeghi4Saber Esmaeili5Research Center of Tropical and Infectious Diseases, Afzalipour Hospital, Kerman University of Medical SciencesNational Reference Laboratory for Plague, Tularemia and Q Fever, Research Centre for Emerging and Reemerging Infectious Diseases, Pasteur Institute of IranNational Reference Laboratory for Plague, Tularemia and Q Fever, Research Centre for Emerging and Reemerging Infectious Diseases, Pasteur Institute of IranNational Reference Laboratory for Plague, Tularemia and Q Fever, Research Centre for Emerging and Reemerging Infectious Diseases, Pasteur Institute of IranResearch Center of Tropical and Infectious Diseases, Afzalipour Hospital, Kerman University of Medical SciencesNational Reference Laboratory for Plague, Tularemia and Q Fever, Research Centre for Emerging and Reemerging Infectious Diseases, Pasteur Institute of IranAbstract Background The healthcare system in Iran appears to overlook Mediterranean spotted fever (MSF) as an endemic disease, particularly in pediatric cases, indicating the need for greater attention and awareness. Case presentation A six-year-old patient with fever, abdominal pain, headache, skin rashes, diarrhea, vomiting, and black eschar (tache noire) from southeast Iran was identified as a rickettsiosis caused by Rickettsia conorii subsp. israelensis through clinical and laboratory assessments, including IFA and real-time PCR. The patient was successfully treated with doxycycline. Conclusions Symptoms like rash, edema, eschar, and abdominal pain may indicate the possibility of MSF during the assessment of acute febrile illness, IFA and real-time PCR are the primary diagnostic methods for this disease.https://doi.org/10.1186/s12879-024-09002-yRickettsia conoriiMediterranean spotted feverPediatricChildIran |
| spellingShingle | Ali Hosseininasab Safoura MoradKasani Ehsan Mostafavi Neda Baseri Maryam Sadeghi Saber Esmaeili Rickettsia conorii subsp. israelensis infection in a pediatric patient presenting skin rash and abdominal pain: a case report from Southeast Iran BMC Infectious Diseases Rickettsia conorii Mediterranean spotted fever Pediatric Child Iran |
| title | Rickettsia conorii subsp. israelensis infection in a pediatric patient presenting skin rash and abdominal pain: a case report from Southeast Iran |
| title_full | Rickettsia conorii subsp. israelensis infection in a pediatric patient presenting skin rash and abdominal pain: a case report from Southeast Iran |
| title_fullStr | Rickettsia conorii subsp. israelensis infection in a pediatric patient presenting skin rash and abdominal pain: a case report from Southeast Iran |
| title_full_unstemmed | Rickettsia conorii subsp. israelensis infection in a pediatric patient presenting skin rash and abdominal pain: a case report from Southeast Iran |
| title_short | Rickettsia conorii subsp. israelensis infection in a pediatric patient presenting skin rash and abdominal pain: a case report from Southeast Iran |
| title_sort | rickettsia conorii subsp israelensis infection in a pediatric patient presenting skin rash and abdominal pain a case report from southeast iran |
| topic | Rickettsia conorii Mediterranean spotted fever Pediatric Child Iran |
| url | https://doi.org/10.1186/s12879-024-09002-y |
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