Mediterranean spotted fever is a common zoonosis in Europe caused by Rickettsia conorii bacterium. Among its wide range of clinical presentations, arterial thrombosis of large vessels has never been described before.
Methods
We report a case of a complete acute infrarenal aortic thrombosis in a 61-year-old male with R. conorii infection.
Results and Conclusion
The patient was successfully operated using open aortic surgery and subsequent treatment with doxycycline. To our knowledge, this is the first report of aortic thrombosis associated with infection by this parasite, extending the clinical spectrum of the disease.
Barsanti-InnesBRoche-NagleG. Acute infrarenal aortic occlusion. BMJ Case Rep2020; 13(3): e233238.
3.
Del PreteEPizzanelliCMorettiP, et al.Mediterranean spotted fever: an unusual clinical and neuroradiological presentation. Neurol Sci2015; 36(11): 2141–2143.
4.
EspejoEAndrésMPérezJ, et al.Prevalence of antibodies to Rickettsia conorii in human beings and dogs from catalonia: a 20-year perspective. Epidemiol Infect2016; 144(9): 1889–1894.
5.
BeselgaDCamposACastroM, et al.A rare case of retinal artery occlusion in the context of mediterranean spotted fever. Case Rep Ophthalmol2014; 5(1): 22–27.
6.
Ben BrahimHLoussaiefCAddadF, et al.Pulmonary thrombosis as a complication of Mediterranean spotted fever. Rev Med Interne2006; 27(12): 973–975.
7.
DalugamaCGawarammanaIB. Rare presentation of rickettsial infection as purpura fulminans: a case report. J Med Case Rep2018; 12(1): 145.
8.
VicenteVAlbercaIRuizR, et al.Coagulation abnormalities in patients with Mediterranean spotted fever. J Infect Dis1986; 153(1): 128–131.
9.
LandauZFeldSKunichezkyS, et al.Thrombosis of the mesenteric vein as a complication of Mediterranean spotted fever. Clin Infect Dis1992; 15(6): 1070–1071.
10.
de Varona FrolovSRSergueiRAcosta SilvaMP, et al.Resultados del tratamiento quirúrgico de la oclusión aguda de aorta abdominal. Cir Esp2015; 93(9): 573–579.
