Boutonneuse fever
| Classification according to ICD-10 | |
|---|---|
| A77.1 | Tick bite fever caused by Rickettsia conorii |
| ICD-10 online (WHO version 2019) | |
The Boutonneuse fever is a tick-borne infectious disease caused by bacteria is caused. The disease is also known under the names Marseille fever and Mediterranean tick spotted fever .
root cause
The disease is caused by the bacterium Rickettsia conorii , which belongs to the group of rickettsiae . The pathogen is transmitted by the brown dog tick ( Rhipicephalus sanguineus ). This can spread to humans, but mainly affects, as the name suggests, dogs.
Occurrence
Boutonneuse fever occurs in the Mediterranean and Black Sea areas, Siberia, India, central and South Africa, with African tick bite fever, caused by Rickettsia africae , predominating in sub-Saharan Africa . Recently R. conorii has been introduced with dog ticks through tourism with dogs.
course
In the first stage, a bruise forms around the puncture site. After 9 days at the latest, the infected person gets a high fever , which can last up to two weeks and is accompanied by headache, limb pain and back pain. Painful swollen lymph nodes in the area of the bite site are often found. This is eventually followed by a rash , but overall the infection is usually benign.
treatment
The patient is treated with tetracyclines .
literature
- Heinz Mehlhorn , Dieter Eichenlaub, Thomas Löscher, Werner Peters: Diagnosis and therapy of parasitoses in humans. 2nd, revised and expanded edition. G. Fischer, Stuttgart et al. 1995, ISBN 3-437-20520-X .
Individual evidence
- ↑ Nathalie Roch, Olivier Epaulard, Isabelle Pelloux, Patricia Pavese, Jean-Paul Brion, Didier Raoult , Max Maurin: African tick bite fever in elderly patients: 8 cases in French tourists returning from South Africa. In: Clinical Infectious Diseases . Volume 47, number 3, August 2008, pp. E28 – e35, doi : 10.1086 / 589868 . PMID 18558881 . (Review).
