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[Icteric Fort Bragg fever: a case report with nosological discussion]
J Serratrice1, N Ené, C de Roux-Serratrice
1Service de médecine interne, CHU de la Timone, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France.
Introduction:
Ictero-hemorrhagic leptospirosis is an endemic disease in France. Weil's disease, a form of leptospirosis, is well known. Fort Bragg fever is characterized by a constant pretibial papular lesion. First described in the USA, this non icteric form of leptospirosis is usually benign. We report the first French case of a mixed form of leptospirosis.
Exegesis:
A 52-year-old man living in South East France suffered from fever and myalgias associated with a pretibial papular lesion. A severe icterus appeared and permitted a diagnosis of leptospirosis.
Conclusion:
Our case recalls the clinical presentation of Fort Bragg fever, which is recognized through its inflammatory pretibial lesion associated or not with icterus.
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