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Mediterranean spotted fever in children returning from France
T L Treadwell1, S D Phillips, W J Jablonski
1Department of Medicine, Framingham Union Hospital, MA 01701.
Abstract:
Although the incidence of Mediterranean spotted fever has increased dramatically in parts of Europe, Africa, and Asia, the disease is only rarely seen in travelers. We describe two children who had traveled in southern France and subsequently had rash and lymphadenopathy develop. Both children were treated with doxycycline and had unequivocal serologic evidence of Mediterranean spotted fever develop. Although this disease is usually mild, in the absence of a tick bite the disease can easily be confused with other febrile exanthems. We describe these patients to reemphasize the influence that international travel has brought to pediatrics.
Insights
Mediterranean spotted fever, a tick-borne illness, is rarely diagnosed in travelers. This report highlights two pediatric cases in southern France, emphasizing travel medicine
Area of Science:
- Pediatrics
- Infectious Diseases
- Travel Medicine
Background:
- Mediterranean spotted fever (MSF) incidence is rising globally.
- MSF is infrequently diagnosed in international travelers.
- Tick-borne diseases pose risks to global travelers.
Observation:
- Two children presented with rash and lymphadenopathy after traveling in southern France.
- Neither child reported a tick bite.
- Clinical presentation mimicked other febrile exanthems.
Findings:
- Both children were diagnosed with MSF via serologic testing.
- Treatment with doxycycline was effective.
- Confirmed MSF in pediatric travelers highlights diagnostic challenges.
Implications:
- International travel can introduce pediatric patients to rare diseases.
- Clinicians should consider MSF in febrile exanthems in travelers.
- Raising awareness of MSF in pediatric travel medicine is crucial.
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