Pinna, Antonio <1963- > and Sotgiu, Mario and Carta, Francesco and Zanetti, Stefania Anna Lucia and Fadda, Giovanni (1997) Oculoglandular syndrome in Mediterranean spotted fever acquired through the eye. British Journal of Ophthalmology, Vol. 81 (2), pp. 172. eISSN 1468-2079. Article.
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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