We aimed to determine the following things: the frequency of @entity1 with @entity827 ( @entity827 ) during the last 10 years among those @entity1 admitted with @entity221 and @entity1910 , their clinical features, and the factors predicting the diagnosis of @entity827 among @entity1 admitted with @entity221 and @entity1910 . Between 1993-2002, the files of all @entity1 admitted to our hospital with @entity221 and @entity1910 were collected. The clinical features and serologic results of the @entity1 diagnosed with @entity827 were further investigated. The diagnosis of @entity827 was established by epidemiological and clinical features and also by the clinical response within 2 days after @entity3403 treatment. During the previous 10 years, 140 @entity1 were admitted with @entity221 and @entity1910 , and 15 (10%; four females, 11 males; mean age: 41 years; range: 17-70) of them were diagnosed with @entity827 . Clinical features were as follows: @entity221 (100%), @entity1910 (100%), @entity925 and/or @entity4841 (93%), @entity10 (87%), @entity4125 (27%), tache noire (13%), leucocytosis (74%), @entity882 (33%), and accelerated erythrocyte sedimentation rate (100%). In nine of these @entity1 , the diagnosis of @entity827 was established by epidemiological and clinical features and was confirmed by serologic studies. As a complication, one @entity1 developed @entity3541 . Six (40%) were given several antibiotics. In conclusion, @entity827 should be considered in the differential diagnosis when a @entity1 is admitted with @entity221 , @entity1910 , @entity10 , @entity925 and/or @entity4841 , especially in spring, summer, or autumn.

XXXX : a review of fifteen cases.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity827 :: ('MESH:D010505', 'Disease') :: ['Mediterranean spotted fever', 'MSF'] @entity1910 :: ('MESH:D005076', 'Disease') :: ['maculopapular rash', 'rash'] @entity882 :: ('MESH:D013921', 'Disease') :: ['thrombocytopenia'] @entity3403 :: ('MESH:D004318', 'Chemical') :: ['doxycycline'] @entity4125 :: ('MESH:D011693', 'Disease') :: ['petechiae'] @entity3541 :: ('MESH:D005158', 'Disease') :: ['facial paralysis'] @entity4841 :: ('MESH:D018771', 'Disease') :: ['arthralgia'] @entity10 :: ('MESH:D006261', 'Disease') :: ['headache'] @entity925 :: ('MESH:D063806', 'Disease') :: ['myalgia'] @entity221 :: ('MESH:D005334', 'Disease') :: ['fever']
@entity827 :: (MESH:D010505,Disease) :: ['Mediterranean spotted fever']
