[Acute renal failure as a complication of Mediterranean spotted fever]

Nephrol Ther. 2011 Jul;7(4):245-7. doi: 10.1016/j.nephro.2011.02.002. Epub 2011 Mar 23.
[Article in French]

Abstract

The Mediterranean spotted fever is a bacterial infection caused by Rickettsia Conorii mainly around Mediterranean basin. It is often considered like a trivial infection. However, severe forms with a high morbidity and high mortality risk have been described. These forms often associate with impaired consciousness, abnormal liver function, impaired homeostasis, pneumonia and acute renal failure. Several mechanisms of renal damage during the Mediterranean spotted fever have been reported, their pathogenesis remains speculative and the prognosis is determined by the type of renal disease and on early treatment. Thus, rickettsiosis should be considered in combination of acute renal, hepatic cytolysis and thrombocytopenia, allowing rapid achievement of a specific treatment.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Acute Kidney Injury / microbiology*
  • Aged
  • Boutonneuse Fever / complications*
  • Humans
  • Male
  • Prognosis
  • Rickettsia conorii / isolation & purification
  • Severity of Illness Index