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Mediterranean spotted fever in southeastern Romania
Daniela Pitigoi1, Ioana D Olaru, Daniela Badescu
1National Institute of Infectious Diseases "Prof. Dr. Matei Bals", 021105 Bucharest, Romania ; Carol Davila University of Medicine and Pharmacy, 020022 Bucharest, Romania.
Mediterranean spotted fever (MSF) is endemic in southeastern Romania, often presenting with fever and rash. Awareness is crucial, especially for travelers, as tick exposure is not always apparent.
Area of Science:
- Infectious Diseases
- Epidemiology
- Tick-borne Illnesses
Background:
- Mediterranean spotted fever (MSF) cases are reported in southeastern Romania, but published data are scarce.
- This study aims to increase awareness of MSF in specific Romanian regions.
Purpose of the Study:
- To retrospectively analyze patients diagnosed with MSF.
- To highlight the prevalence and characteristics of MSF in Romania.
Main Methods:
- Retrospective study of 339 patients diagnosed with MSF between 2000 and 2011.
- Utilized Raoult diagnostic criteria and indirect immunofluorescence assay for serologic diagnosis.
- Analyzed patient demographics, symptoms, and diagnostic results.
Main Results:
- Over half of patients (50.4%) met the diagnostic criteria for MSF.
- Fever (99.4%) and rash (98.2%) were the most common symptoms; 57.9% reported a tick bite.
- Serology confirmed Rickettsia conorii infection in 83.7% of tested patients; no deaths were recorded.
Conclusions:
- MSF is endemic in southeastern Romania and should be considered in patients with fever and rash, even without known tick exposure.
- Travel-associated MSF should be suspected in individuals returning from this endemic area with characteristic symptoms.
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