| Disease/Syndrome |
Boutonneuse fever |
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| Category |
Infection, Occupational |
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| Acute/Chronic |
Acute-Moderate |
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| Synonyms |
Mediterranean tick fever, Mediterranean spotted fever, Marseilles fever, Kenya tick typhus, India tick typhus, Israeli tick typhus; Rickettsia conorii infection; |
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| Biomedical References |
Search PubMed |
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| Comments |
The eschar at the site of the tick bite is usually present with the onset of fever. The maculopapular rash follows on days 4-5 and may involve palms and soles. Similar rickettsioses are African tick bite fever, Queensland tick typhus, and North Asian tick fever. None of these infections occur in SE Asia or in the Americas. [CCDM, p. 461-3] The disease is similar to Rocky Mountain spotted fever, but is less severe. [ID, p. 1490] Direct inoculation of the eye with the blood of an infected tick can cause Parinaud's oculoglandular conjunctivitis. [Guerrant, p. 1577] |
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| Latency/Incubation |
5-7 days |
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| Diagnostic |
Serology; PCR; Tissue immunostaining; Culture and DFA identification; [CCDM, p. 461] |
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| ICD-9 Code |
082.1 |
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| Effective Antimicrobics |
Yes |
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| Scope |
India, Mediterranean Europe, Africa, & Mideast (R. conorii); Botswana, Zimbabwe, Swaziland, & S. Africa (R. africae); Queensland, New S. Wales, Tasmania, & eastern Victoria (R. australis); Asian former USSR, north China, & Mongolia (R. sibirica); |
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| Reference Link |
eMedicine - Boutonneuse Fever |
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| Image |
American Family Physician - Image of "Tache Noire" |
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| Related Information in Haz-Map |
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| Symptoms/Findings |
Symptoms/Findings associated with this disease:
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| Job Tasks |
High risk job tasks associated with this disease:
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