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2007, Number 2

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Gac Med Mex 2007; 143 (2)

Fiebre Manchada de las Montañas Rocosas en niños: consideraciones clínicas y epidemiológicas

Martínez-Medina MA, Álvarez-Hernández G, Padilla-Zamudio JG, Rojas-Guerra MG

Language: Spanish
References: 24
Page: 137-140
PDF size: 48.47 Kb.


ABSTRACT

Objective. To report the clinical features of the Rocky Mountain spotted fever (RMSF) in children of southern Sonora, Mexico.
Material and Methods. Nine cases were studied at the Sonora State Children’s Hospital. One case was defined by clinical features and positive serological tests (indirect immunofluorescence assay or reaction to Proteus OX 19). Demographic and clinical characteristics of the patients were registered.
Results. The study subjects were children from two to twelve years of age. All patients have had contact with tick-infested dogs and had fever, as well as petechial rash. Laboratory findings included high levels of hepatic aminotransferase, hyponatremia and thrombocytopenia. Therapy with chloramphenicol and doxyciclyne was administered after the first seven days of the onset of illness. The mortality rate was 22%.
Conclusions. This study supports the presence of RMSF in the state of Sonora, Mexico, which should be considered as a public health hazard, requiring inmediate actions for prevention and control.


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