Abstract

SANCHEZ GARCIA, Marta; GABRIELA TOMOIU, Ileana; HIDALGO FERNANDEZ, Carmen  and  DELGADO CASADO, José Andrés. Where is the tick?: cruise & home (resolved in primary health care). Rev Clin Med Fam [online]. 2013, vol.6, n.2, pp.109-111. ISSN 2386-8201.  https://dx.doi.org/10.4321/S1699-695X2013000200006.

Working in primary health care means thinking about the most common pathologies which we encounter in our workplace. A young patient with genital ulcers makes us think of a sexually transmitted infection. However, the lack of response to the correct empirical treatment and serology results show a definitive diagnosis: Mediterranean spotted fever (also known as boutonneuse fever), with a rare location. It should be remembered that a commonly occurring disease in our environment may resemble another equally common one, thus a correct clinical history is fundamental in order to distinguish them.

Keywords : Ulcer; Mediterranean spotted fever; Rickettsia conorii.

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