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Mediterranean spotted fever in Lombardy: An epidemiological, clinical and laboratory study of 76 cases in the years 1977–1986

✍ Scribed by M. Tinelli; A. Maccabruni; G. Michelone; A. Zambelli


Publisher
Springer
Year
1989
Tongue
English
Weight
405 KB
Volume
5
Category
Article
ISSN
0393-2990

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✦ Synopsis


This paper describes the epidemiological, clinical and laboratory features of 76 cases of Mediterranean spotted fever occurring occurring during the years 1977-1986. The patients observed all lived in the Lombardy region of Italy, which is not located on the Mediterranean Basin. Our data show the highest prevalence of the disease, as reported by other authors, in southern regions of Italy, in the same years: 1979-1983. No differences were noted between age groups or sexes, and the late spring-summer seasonality was confirmed. The clinical signs and symptoms in our cases were those common to the disease. The microimmunofluorescence method was found to be more sensitive and specific than the Well-Felix test for serological diagnosis. Finally, we showed that doxycycline and oxytetracycline both induce rapid remission of fever.