Malignant mediterranean spotted fever in the setting of diabetes mellitus: An uncommon cutaneous entity

An uncommon cutaneous entity

Authors

  • Tarang Goyal Department of Dermatology, Venereology and Leprosy, Muzaffarnagar Medical College and Hospital, Uttar Pradesh, India
  • Anupam Varshney Department of Pathology, Muzaffarnagar Medical College and Hospital, Uttar Pradesh, India
  • S. K. Bakshi Department of Medicine, Muzaffarnagar Medical College and Hospital, Uttar Pradesh, India
  • Veena Mittal Zoonosis Division, National Center for Disease Control, Delhi, India

Keywords:

Fièvre boutonneuse, malignant Mediterranean spotted fever, rickettsia, Wohlbach's nodule

Abstract

In this era of immune suppression and potential biological warfare, we need to be aware of cutaneous manifestations of relatively uncommon bacterium, their atypical variants, and the early treatment protocols. We present atypical presentation of Indian possible tick typhus diagnosed clinically and confirmed both by biopsy of the lesion and serological tests.

References

Colomba C, Saporito L, Siracusa L, Giammanco G, Bonura S, Titone L. Mediterranean Spotted Fever in paediatric and adult patients: Two clinical aspects of the same disease. Infez Med 2011;19:248-53.

Uilenberg G. Newsletter on ticks and tick-borne diseases in livestock in the tropics. Univeristeit Utrecht 2008;37:26.

Heymann WR. Rickettsialpox. Clin Dermatol 1996;14:279-82.

Wohlbach SB. The Aetiology and Pathology of Typhus. Cambridge MA; Harvard University Press; 1922.

Mathai E, Lloyd G, Cherian T, Abraham OC, Cherian AM. Serological evidence for the continued presence of human rickettsioses in southern India. Ann Trop Med Parasitol 2001;95:395-8.

Padbidri VS, Rodrigues JJ, Shetty PS, Joshi MV, Rao BL, Shukla RN. Tick-borne rickettsioses in Pune district, Maharashtra, India. Int J Zoonoses 1984;11:45-52.

Mahajan SK, Kashyap R, Sankhyan N, Sharma V, Rolain JM, Prasher BS, et al. Spotted fever group rickettsioses in Himachal Pradesh. J Assoc Physicians India 2007;55:868-70.

Chaudhry D, Garg A, Singh I, Tandon C, Saini R. Rickettsial diseases in Haryana: Not an uncommon entity. J Assoc Physicians India 2009;57:334-7.

Padbidri VS, Gupta NP. Rickettsiosis in India: A review. J Indian Med Assoc 1978;71:104-7.

Bhattacharya D, Mittal V, Gupta N, Dhariwal AC, Bahl A. Scrub typhus and other Rickettsiosis. CD Alert 2009;13:1-8.

Harrison's Principles of Internal Medicine. 18th ed., Vol. 1. In: Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson JL, Loscalzo J, editors. United States of America: The McGraw-Hill Companies, Inc.; 2012. p. 1411.

Downloads

Published

2014-09-25

How to Cite

1.
Goyal T, Varshney A, Bakshi SK, Mittal V. Malignant mediterranean spotted fever in the setting of diabetes mellitus: An uncommon cutaneous entity: An uncommon cutaneous entity. Community Acquir Infect. 2014;1. Accessed May 3, 2025. https://www.hksmp.com/journals/cai/article/view/206

Issue

Vol. 1 (2014)

Section

Case Report

Downloads

Download data is not yet available.

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.