Overlook on Epidemiology and Causative Agents of Ricketsia in Adults in Albania

Çomo, N.; Muco, Ermira; Kraja, Dhimitër; Kica, A.; Meta, Esmeralda; Duraku, K.

doi:10.1016/j.ijid.2008.05.1204

Cited by 1 publication

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“…In Albania there are three causative group of Ricketsie: Murine Typho, Mediterranean spotted fever and Q Fever. In a study presented from our clinic, cases with Mediterranean spotted fever consisted in 24.75% of rickettsia [9]. [3].…”

Section: Discussionmentioning

confidence: 97%

“…This growth was seen in our case as well. The treatment of choice is doxycycline, since it is effective and achieves good intracellular levels [9]. However, other medications such as Ciprofloxacin or Azithromycin may be used [10].…”

Section: Discussionmentioning

confidence: 99%

“…Due to marked angiotropism of rickettsial organisms, it has been reported that the white retinal lesions in rickettsial retinitis could be a result of multiplication of organisms in inner retina or alternatively due to immune complex deposition along retinal vessels [8]. It is imperative to start oral antibiotics such as doxycycline since it is effective and achieves good intracellular levels [9].…”

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confidence: 99%

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Mediterranean Spotted Fever Complicated with Thrombosis of the Left Central Retinal Vein: A Case Report and Literature Review

Muco¹,

Kushi²,

Hoxha³

et al. 2018

JBM

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We describe a case of Mediterranean spotted fever complicated with thrombosis of the left central retinal vein. A 41-year-old woman patient living in the city Scodra was referred to our hospital in October 2017 for high fever 40˚C, muscular and articular pains, severe headache, maculopapular rash, chills, photophobia and visual loss in his left eye. Ocular examination showed vision acuity: OD 8/10, OS 2/10. Funduscopic examination complemented with fluorescein angiography showed: optic nerve papilla with clear contours, diffuse hemorrhages in the contest off retinal vein thrombosis, white retinal lesions, vascular sheathing and macular cystoids edema. R. conorii antibodies were identified by ELISA anti Rickettsia conorii IgM, test. Investigation of other infective agents and the immunological panel were negative. After treatment with doxycycline 200 mg/day for 10 days vision acuity was OD: 8/10 OS: 6/10; FO: There are less hemorrhages in fluorescein angiograph and OCT showed a reduced macular cystoids edema. Mediterranean spotted fever should be considered in the differential diagnosis of a patient who presents with an acute febrile disease accompanied by maculopapular rash especially in the seasons of spring, summer or autumn.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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