Brazilian Spotted Fever: the importance of dermatological signs for early diagnosis

Brazilian spotted fever is an acute febrile infectious disease caused by Rickettsia rickettsii, transmitted by tick bite. As this disease is rare and has high mortality rates in Brazil, the clinical aspects and epidemiological data may help the diagnosis. We report a case of Brazilian spotted fever in a 19-year-old patient who presented maculopapular exanthema in the palmar region and upper limbs, lymphadenopathy, fever, chills, headache, conjunctival hyperemia, nausea, vomiting, dyspnea, myalgia, developing neurological signs and abdominal pain. He was treated with doxycycline with clinical improvement. We emphasize the importance of the recognition of this disease by dermatologists as cutaneous manifestations are the key findings to establish early diagnosis and prevent complications.

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Main Authors: Couto,Daíne Vargas, Medeiros,Marcelo Zanolli, Hans Filho,Gunter, Lima,Alexandre Moretti de, Barbosa,Aline Blanco, Vicari,Carolina Faria Santos
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Dermatologia 2015
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962015000200248
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spelling oai:scielo:S0365-059620150002002482015-03-26Brazilian Spotted Fever: the importance of dermatological signs for early diagnosisCouto,Daíne VargasMedeiros,Marcelo ZanolliHans Filho,GunterLima,Alexandre Moretti deBarbosa,Aline BlancoVicari,Carolina Faria Santos Rickettsia infections Rickettsia rickettsii Rocky Mountain Spotted Fever Skin diseases, infectious Brazilian spotted fever is an acute febrile infectious disease caused by Rickettsia rickettsii, transmitted by tick bite. As this disease is rare and has high mortality rates in Brazil, the clinical aspects and epidemiological data may help the diagnosis. We report a case of Brazilian spotted fever in a 19-year-old patient who presented maculopapular exanthema in the palmar region and upper limbs, lymphadenopathy, fever, chills, headache, conjunctival hyperemia, nausea, vomiting, dyspnea, myalgia, developing neurological signs and abdominal pain. He was treated with doxycycline with clinical improvement. We emphasize the importance of the recognition of this disease by dermatologists as cutaneous manifestations are the key findings to establish early diagnosis and prevent complications.info:eu-repo/semantics/openAccessSociedade Brasileira de DermatologiaAnais Brasileiros de Dermatologia v.90 n.2 20152015-04-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962015000200248en10.1590/abd1806-4841.20153087
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country Brasil
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libraryname SciELO
language English
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author Couto,Daíne Vargas
Medeiros,Marcelo Zanolli
Hans Filho,Gunter
Lima,Alexandre Moretti de
Barbosa,Aline Blanco
Vicari,Carolina Faria Santos
spellingShingle Couto,Daíne Vargas
Medeiros,Marcelo Zanolli
Hans Filho,Gunter
Lima,Alexandre Moretti de
Barbosa,Aline Blanco
Vicari,Carolina Faria Santos
Brazilian Spotted Fever: the importance of dermatological signs for early diagnosis
author_facet Couto,Daíne Vargas
Medeiros,Marcelo Zanolli
Hans Filho,Gunter
Lima,Alexandre Moretti de
Barbosa,Aline Blanco
Vicari,Carolina Faria Santos
author_sort Couto,Daíne Vargas
title Brazilian Spotted Fever: the importance of dermatological signs for early diagnosis
title_short Brazilian Spotted Fever: the importance of dermatological signs for early diagnosis
title_full Brazilian Spotted Fever: the importance of dermatological signs for early diagnosis
title_fullStr Brazilian Spotted Fever: the importance of dermatological signs for early diagnosis
title_full_unstemmed Brazilian Spotted Fever: the importance of dermatological signs for early diagnosis
title_sort brazilian spotted fever: the importance of dermatological signs for early diagnosis
description Brazilian spotted fever is an acute febrile infectious disease caused by Rickettsia rickettsii, transmitted by tick bite. As this disease is rare and has high mortality rates in Brazil, the clinical aspects and epidemiological data may help the diagnosis. We report a case of Brazilian spotted fever in a 19-year-old patient who presented maculopapular exanthema in the palmar region and upper limbs, lymphadenopathy, fever, chills, headache, conjunctival hyperemia, nausea, vomiting, dyspnea, myalgia, developing neurological signs and abdominal pain. He was treated with doxycycline with clinical improvement. We emphasize the importance of the recognition of this disease by dermatologists as cutaneous manifestations are the key findings to establish early diagnosis and prevent complications.
publisher Sociedade Brasileira de Dermatologia
publishDate 2015
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962015000200248
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