Rickettsial Infection Caused by Accidental Conjunctival Inoculation
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.17/2392 |
Resumo: | The most common transmission route of tick-borne Rickettsia is through tick bite; nevertheless, other transmission routes should also be considered. We report a case of rickettsial infection in a 15-year-old boy caused by accidental contamination of the conjunctiva through the infected fluid of a crushed engorged tick removed from a dog. Right eye pain, conjunctival hyperaemia with mucopurulent exudate, chemosis and eyelid oedema were the first signs and symptoms. Two days later, the boy developed fever, myalgia, headache, abdominal pain and was vomiting; physical examination showed multiple cervical adenopathies but no rash. He was treated with doxycycline (200 mg/day) for 7 days with progressive resolution of clinical signs. Rickettsial infection was confirmed by immunofluorescence assay with serological seroconversion in two consecutive samples. Rickettsia conorii or Rickettsia massiliae were the possible causal agents since they are the Rickettsia spp found in the Rhipicephalus sanguineus dog tick in Portugal. |
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Rickettsial Infection Caused by Accidental Conjunctival InoculationAccidentsAnimal HusbandryAnti-Bacterial Agents/therapeutic useBoutonneuse Fever/drug therapyBoutonneuse Fever/etiologyConjunctivitis, Bacterial/drug therapyDoxycycline/therapeutic useRickettsiaAnimalsAdolescentHDE PEDThe most common transmission route of tick-borne Rickettsia is through tick bite; nevertheless, other transmission routes should also be considered. We report a case of rickettsial infection in a 15-year-old boy caused by accidental contamination of the conjunctiva through the infected fluid of a crushed engorged tick removed from a dog. Right eye pain, conjunctival hyperaemia with mucopurulent exudate, chemosis and eyelid oedema were the first signs and symptoms. Two days later, the boy developed fever, myalgia, headache, abdominal pain and was vomiting; physical examination showed multiple cervical adenopathies but no rash. He was treated with doxycycline (200 mg/day) for 7 days with progressive resolution of clinical signs. Rickettsial infection was confirmed by immunofluorescence assay with serological seroconversion in two consecutive samples. Rickettsia conorii or Rickettsia massiliae were the possible causal agents since they are the Rickettsia spp found in the Rhipicephalus sanguineus dog tick in Portugal.BMJ Publishing GroupRepositório do Centro Hospitalar Universitário de Lisboa Central, EPEBrissos, Jde Sousa, RSantos, ASGouveia, C2016-02-18T12:42:47Z20152015-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.17/2392engBMJ Case Rep 201510.1136/bcr-2014-207029info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-10T09:36:45Zoai:repositorio.chlc.min-saude.pt:10400.17/2392Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:19:44.917678Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Rickettsial Infection Caused by Accidental Conjunctival Inoculation |
title |
Rickettsial Infection Caused by Accidental Conjunctival Inoculation |
spellingShingle |
Rickettsial Infection Caused by Accidental Conjunctival Inoculation Brissos, J Accidents Animal Husbandry Anti-Bacterial Agents/therapeutic use Boutonneuse Fever/drug therapy Boutonneuse Fever/etiology Conjunctivitis, Bacterial/drug therapy Doxycycline/therapeutic use Rickettsia Animals Adolescent HDE PED |
title_short |
Rickettsial Infection Caused by Accidental Conjunctival Inoculation |
title_full |
Rickettsial Infection Caused by Accidental Conjunctival Inoculation |
title_fullStr |
Rickettsial Infection Caused by Accidental Conjunctival Inoculation |
title_full_unstemmed |
Rickettsial Infection Caused by Accidental Conjunctival Inoculation |
title_sort |
Rickettsial Infection Caused by Accidental Conjunctival Inoculation |
author |
Brissos, J |
author_facet |
Brissos, J de Sousa, R Santos, AS Gouveia, C |
author_role |
author |
author2 |
de Sousa, R Santos, AS Gouveia, C |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Repositório do Centro Hospitalar Universitário de Lisboa Central, EPE |
dc.contributor.author.fl_str_mv |
Brissos, J de Sousa, R Santos, AS Gouveia, C |
dc.subject.por.fl_str_mv |
Accidents Animal Husbandry Anti-Bacterial Agents/therapeutic use Boutonneuse Fever/drug therapy Boutonneuse Fever/etiology Conjunctivitis, Bacterial/drug therapy Doxycycline/therapeutic use Rickettsia Animals Adolescent HDE PED |
topic |
Accidents Animal Husbandry Anti-Bacterial Agents/therapeutic use Boutonneuse Fever/drug therapy Boutonneuse Fever/etiology Conjunctivitis, Bacterial/drug therapy Doxycycline/therapeutic use Rickettsia Animals Adolescent HDE PED |
description |
The most common transmission route of tick-borne Rickettsia is through tick bite; nevertheless, other transmission routes should also be considered. We report a case of rickettsial infection in a 15-year-old boy caused by accidental contamination of the conjunctiva through the infected fluid of a crushed engorged tick removed from a dog. Right eye pain, conjunctival hyperaemia with mucopurulent exudate, chemosis and eyelid oedema were the first signs and symptoms. Two days later, the boy developed fever, myalgia, headache, abdominal pain and was vomiting; physical examination showed multiple cervical adenopathies but no rash. He was treated with doxycycline (200 mg/day) for 7 days with progressive resolution of clinical signs. Rickettsial infection was confirmed by immunofluorescence assay with serological seroconversion in two consecutive samples. Rickettsia conorii or Rickettsia massiliae were the possible causal agents since they are the Rickettsia spp found in the Rhipicephalus sanguineus dog tick in Portugal. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015 2015-01-01T00:00:00Z 2016-02-18T12:42:47Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.17/2392 |
url |
http://hdl.handle.net/10400.17/2392 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
BMJ Case Rep 2015 10.1136/bcr-2014-207029 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
BMJ Publishing Group |
publisher.none.fl_str_mv |
BMJ Publishing Group |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799131294510088192 |