Open AccessTache Noire in a Patient with Acute Q Fever
Author(s) -
Fiore Vito,
Mancini Fabiola,
Ciervo Alessandra,
Bagella Paola,
Peruzzu Francesca,
Nunnari Giuseppe,
Deiana Giovanni Andrea,
Rezza Giovanni,
Babudieri Sergio,
Madeddu Giordano
Publication year - 2018
Publication title -
medical principles and practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 45
eISSN - 1423-0151
pISSN - 1011-7571
DOI - 10.1159/000486573
Subject(s) - case report
Objective: To describe a rare case of acute Q fever with tache noire. Clinical Presentation and Intervention: A 51-year-old man experienced acute Q fever showing tache noire, generally considered a pathognomonic sign of Mediterranean spotted fever (MSF) and MSF-like illness, but not a clinical feature of Q fever. The patient was treated with doxycycline 100 mg every 12 h. Conclusion: In the Mediterranean area, tache noire should be considered pathognomonic of MSF but it should not rule out Q fever. Clinical diagnosis should be supported by accurate laboratory diagnostic tests to guide proper management.