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, chemosi...
A rational and appropriate evaluation of liver biochemical tests is essential, given the increased number of abnormal laboratory results in asymptomatic patients. Critical judgement allows early diagnosis in the absence of typical clinical signs. Autoimmune hepatitis is a rare disease with high clinical variability. We present a child investigated for unexplained increase in aminotransferases, discovered accide...
Mediterranean spotted fever (MSF) is a tick-borne rickettsial disease, endemic in Portugal. It is caused by Rickettsia conorii and clinically characterized by a vasculitic process with the classical clinical triad: fever, rash and lesion at the site of tick bite. It is accidentally transmitted to the human by its main vector, the Rhipicephalus sanguineus arthropod. Usually the disease develops after an infected...