Infecciones por rickettsias y fiebre Q
- Rodríguez Zapata, Manuel
- Sánchez Martínez, Lorenzo
- Aguila Fernández Paniagua, E.
- Rial Crestelo, D.
ISSN: 0304-5412
Year of publication: 2014
Issue Title: Enfermedades infecciosas (IV): brucelosis, tuberculosis, infecciones por legionella y rickettsia
Series: 11
Issue: 52
Pages: 3068-3075
Type: Article
More publications in: Medicine: Programa de Formación Médica Continuada Acreditado
Abstract
Rickettsiosis is a disease with considerable worldwide impact due to its high prevalence and morbidity. It is present in our community, where it has been described (as well as the classical diseases) as Mediterranean spotted fever, Q fever and murine typhus. There are other emerging diseases with which general practitioners should be familiar. Rickettsiae are gram-negative, intracellular obligate bacteria, which are transmitted by arthropod vectors such as ticks, fleas and lice. They infect domestic animals such as dogs, cats and rabbits and produce a similar and characteristic initial clinical presentation with fever, headache and arthromylagia. Subsequently, other specific manifestations appear, depending on the type of Rickettsia that caused the disease. Diagnosis is performed by serology during convalescence, which requires a high index of suspicion for typical findings, an appropriate epidemiological setting and the implementation of empiric antibiotic therapy. Doxycycline is the drug of choice.
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