Abstract
Splenic Rupture and Malignant Mediterranean Spotted Fever
Highlights
To the Editor: Mediterranean spotted fever (MSF) is a Rickettsia conorii infection endemic to the Mediterranean
Serologic testing obtained at day 1 was negative for spotted fever group (SFG) rickettsiosis
Skin biopsy of the macular eruption on day 2 demonstrated a leukocytoclastic vasculitis with nonocclusive luminal thrombi in the dermal capillaries (Figure, panel C)
Summary
To the Editor: Mediterranean spotted fever (MSF) is a Rickettsia conorii infection endemic to the Mediterranean. Serologic testing obtained at day 1 was negative for spotted fever group (SFG) rickettsiosis. A computed tomographic scan showed hemoperitoneum secondary to a ruptured subcapsular splenic hematoma (online Appendix Figure, available from www.cdc.gov/EID/content/ 14/6/995-appG.htm), and an emergency splenectomy was performed.
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