Clinical Study
Mediterranean Spotted Fever in Southeastern Romania
Table 1
Diagnostic criteria of Raoult et al. in the study patients.
| | Points | Patient characteristics N (%) | Patients evaluated |
| Epidemiological criteria | | | | Stay in endemic area | 2 | 171 (100) | 171 | Occurrence between May and September | 2 | 165 (96.5) | 171 | Contact with dog ticks | 2 | 114 (79.2) | 144 | Clinical criteria | | | | Fever > 39°C | 5 | 170 (99.4) | 171 | Eschar | 5 | 115 (67.3) | 171 | Maculopapular or purpuric rash | 5 | 168 (98.2) | 171 | Two of the three clinical criteria | 3 | 76 (44.4) | 171 | All three clinical criteria present | 5 | 95 (55.6) | 171 | Nonspecific laboratory findings | | | | Platelets < 150,000/mm3 | 1 | 81 (50.9) | 159 | ALT or AST > 50 u/L | 1 | 124 (78.5) | 158 | Serological criteria | | | | Sole serum sample IgG ≥ 1 : 160 | 10 | 92 (62.6) | 147 | Fourfold increase in paired serum samples | 20 | 31 (21.1) | 147 |
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