MEDITERRANEAN SPOTTED FEVER

Question 1

cause

Answer 1

rickettsia conorri

Question 2

moa

Answer 2

dog tick

Question 3

epi

Answer 3

mediterranean

Question 4

IP

Answer 4

4-10 days (1 week)

Question 5

type of disease

Answer 5

zooinose

Question 6

characteristic signs of the disease

Answer 6

a mp rash that classically spread to the palms and soles

distinct black eschar, , at the site of the tick bite(not painful or itchy)

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Question 7

triad

Answer 7

tache noir, fever, rash

Question 8

mb

Answer 8

obligate intracellular, gram -

Question 9

symptoms

Answer 9

classically flu like symptoms

Question 10

another name for disease

Answer 10

boutonneuse fever

Question 11

diagnosis

Answer 11

serology
pcr
elisa

Question 12

name of the tick

Answer 12

rhipicephalus sanguineus

Question 13

examples of killed vaccines

Answer 13

HAV, POLIO, RABIES

Question 14

live vacines so far

Answer 14

MMR, the OPV (polio vaccine)

Question 15

intro

Answer 15

also known as boutennues (spotted or pimpled)

its endemic in the mediterranean region

has different names depending on where you find it such as marseilles fever

Question 16

dx

Answer 16

The exanthem may be papulovesicular in some patients; this form is more common in adults in Africa. It may be challenging to differential this form from viral exanthems, particularly chickenpox.

Question 17

dx

Answer 17

The exanthem may be papulovesicular in some patients; this form is more common in adults in Africa. It may be challenging to differential this form from viral exanthems, particularly chickenpox.

Question 18

minority of patients

Answer 18

n a minority of patients, isolated lymphadenopathy is the only symptom. R conorii infection should be considered in patients with isolated lymphadenopathy who live in or have traveled to an endemic area, even when other more specific features are not present. In this setting, care should be taken to examine the area distal to the lymphadenopathy for an inoculation eschar, which, if present, can help support the diagnosis.

Question 19

preventin

Answer 19

Patients should be educated about avoiding tick bites and minimizing contact with dogs in areas that are endemic with MSF.

Question 20

diagnosis

Answer 20

Because there is no test that can reliably confirm MSF in its early stages, the diagnosis is commonly made on the basis of clinical findings. [25] The clinical diagnosis is supported when a history of travel to an endemic area is coupled with the following triad:

Fever
Exanthem (maculopapular rash)- non pruritic
Eschar (tache noire) at site of tick bite

Question 21

epidemioligcal points

Answer 21

About 88% of MSF cases are diagnosed between June and September (as a reflection of the reproduction cycle of Rhipicephalus); however, physicians should be aware that climate changes are leading to increases in the number of off-season MSF cases