Brill-zinsser disease A75.1

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 16.03.2021

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Definition
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Late relapse of epidemic spotted fever with a milder and shorter course. In addition to fever and headache, a generalized maculopapular exanthema is usually the only clinical sign.

Etiopathogenesis
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The rickettsiae presumably persist in various organs (e.g. bone marrow) and re-enter the bloodstream about 10-20 years later, triggering typical disease symptoms again (see rickettsioses below).

Clinical features
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see epidemic spotted fever

- generalized, maculopapular exanthema

- undulating episodes of fever

- neurological symptoms (fasciculations) possible

Diagnostics
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The disease can be diagnosed by PCR or immunofluorescence.

Therapy
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Incoming links (2)

Epidemic typhus; Rickettsia;

Outgoing links (2)

Epidemic typhus; Rickettsia;

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 16.03.2021