Boutonneuse fever with malignant evolution
Keywords:
boutonneuse fever, adult respiratory distress syndromeAbstract
A case of boutonneuse fever in an apparently healthy mate aged 48 is described. After a typical presentation there was a rapidly progressive systemic involvement, with hepatobiliary, central nervous system and respiratory manifestations. Lung involvement presented as adult respiratory distress syndrome, radiologicaly manifested by extensive bilateral infiltrate, leading to the need of respiratory intensive care support. ln spite of all therapeutic measures the evolution was fatal suggesting a generalized and ab normaly severe vasculitis, which was confirmed post-mortem.
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