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Oculoglandular syndrome in Mediterranean spotted fever acquired through the eye

BMJ Publishing Group
Publication Date
  • Med/30 Malattie Apparato Visivo
  • Med/07 Microbiologia E Microbiologia Clinica
  • Medicine


We examined a 33-year-old woman with a week long history of a progressively inflamed left eye who showed oculoglandular conjunctivitis and a marginal corneal ulcer. Three days later she presented with fever and cutaneous maculopapular exanthema. The patient revealed that 2 weeks earlier a jet of blood had splashed into her left eye as she accidentally crushed a tick on her dog. Blood samples from the patient were positive to the Weil–Felix test; therefore, Mediterranean spotted fever was diagnosed. Systemic and topical treatment with tetracyclines was successful. The possibility that spotted fever may be acquired through the eye should be kept in mind.

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