1
|
Guccione C, Rubino R, Colomba C, Anastasia A, Caputo V, Iaria C, Cascio A. Rickettsiosis with Pleural Effusion: A Systematic Review with a Focus on Rickettsiosis in Italy. Trop Med Infect Dis 2022; 7:tropicalmed7010011. [PMID: 35051127 PMCID: PMC8777742 DOI: 10.3390/tropicalmed7010011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2021] [Revised: 12/29/2021] [Accepted: 01/10/2022] [Indexed: 02/01/2023] Open
Abstract
Background: Motivated by a case finding of Mediterranean spotted fever (MSF) associated with atypical pneumonia and pleural effusion in which Rickettsia conorii subsp. israelensis was identified by molecular methods in the pleural fluid, we wanted to summarize the clinical presentations of rickettsiosis in Italy by systematic research and to make a systematic review of all the global cases of rickettsiosis associated with pleural effusion. Methods: For the literature search, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology was followed. We chose to select only the studies published in last 25 years and confirmed both with serological and molecular assays. Results: Human cases of rickettsiosis in Italy were reported in 48 papers describing 2831 patients with very different clinical presentations; the majority was MSF accounted to R. conorii and was reported in Sicily. Pleural effusion associated with infection with microorganisms belonging to Rickettsiales was described in 487 patients. It was rarely associated with microorganisms different from O. tsutsugamushi; also rarely, cases of scrub typhus were reported outside Southeast Asia and in the largest majority, the diagnosis was achieved with serology. Conclusions: MSF, especially when caused by R. conorii subsp. israelensis, may be a severe disease. A high index of suspicion is required to promptly start life-saving therapy. Pleural effusion and interstitial pneumonia may be part of the clinical picture of severe rickettsial disease and should not lead the physician away from this diagnosis
Collapse
Affiliation(s)
- Cristoforo Guccione
- Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, 90127 Palermo, Italy; (C.G.); (C.C.); (A.A.); (V.C.)
| | - Raffaella Rubino
- Infectious and Tropical Disease Unit, AOU Policlinico “P. Giaccone”, 90127 Palermo, Italy;
| | - Claudia Colomba
- Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, 90127 Palermo, Italy; (C.G.); (C.C.); (A.A.); (V.C.)
| | - Antonio Anastasia
- Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, 90127 Palermo, Italy; (C.G.); (C.C.); (A.A.); (V.C.)
| | - Valentina Caputo
- Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, 90127 Palermo, Italy; (C.G.); (C.C.); (A.A.); (V.C.)
| | - Chiara Iaria
- Infectious and Tropical Disease Unit—ARNAS Civico, 90127 Palermo, Italy;
| | - Antonio Cascio
- Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, 90127 Palermo, Italy; (C.G.); (C.C.); (A.A.); (V.C.)
- Infectious and Tropical Disease Unit, AOU Policlinico “P. Giaccone”, 90127 Palermo, Italy;
- Correspondence: ; Tel.: +39-091-2389-0632
| |
Collapse
|
2
|
Lv S, Wang L, Zou X, Wang Z, Qu B, Lin W, Yang D. A Case of Acute Telogen Effluvium After SARS-CoV-2 Infection. Clin Cosmet Investig Dermatol 2021; 14:385-387. [PMID: 33889006 PMCID: PMC8057787 DOI: 10.2147/ccid.s307982] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2021] [Accepted: 03/24/2021] [Indexed: 01/19/2023]
Abstract
As the number of COVID-19 cases increasing, more and more patients are concerning about alopecia, a sequela after SARS-CoV-2 infection. We here report a case of a 38-year-old woman with a typical acute telogen effluvium (ATE) after recovery from COVID-19.
Collapse
Affiliation(s)
- Shuying Lv
- School of Clinical Medicine, Beijing University of Chinese Medicine, Beijing, People's Republic of China.,Department of Dermatology, China-Japan Friendship Hospital, Beijing, People's Republic of China
| | - Lei Wang
- Department of Dermatology, China-Japan Friendship Hospital, Beijing, People's Republic of China
| | - Xiaohui Zou
- Laboratory of Clinical Microbiology and Infection, Department of Pulmonary and Critical Care Medicine, China-Japan Friendship Hospital, Beijing, People's Republic of China
| | - Zihan Wang
- School of Clinical Medicine, Beijing University of Chinese Medicine, Beijing, People's Republic of China
| | - Baoquan Qu
- School of Clinical Medicine, Beijing University of Chinese Medicine, Beijing, People's Republic of China.,Department of Dermatology, China-Japan Friendship Hospital, Beijing, People's Republic of China
| | - Wenjun Lin
- School of Clinical Medicine, Beijing University of Chinese Medicine, Beijing, People's Republic of China.,Department of Dermatology, China-Japan Friendship Hospital, Beijing, People's Republic of China
| | - Dingquan Yang
- Department of Dermatology, China-Japan Friendship Hospital, Beijing, People's Republic of China
| |
Collapse
|
3
|
Chien Yin GO, Siong-See JL, Wang ECE. Telogen Effluvium - a review of the science and current obstacles. J Dermatol Sci 2021; 101:156-163. [PMID: 33541773 DOI: 10.1016/j.jdermsci.2021.01.007] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2020] [Revised: 01/18/2021] [Accepted: 01/19/2021] [Indexed: 12/25/2022]
Abstract
Telogen effluvium (TE) is a common cause of diffuse non-scarring hair loss that is usually precipitated by physiological stress such as childbirth or sudden weight loss. Despite its high rate of remission, this phenomenon of sudden excessive hair loss can be very worrisome and upsetting for affected individuals and may significantly impact their quality of life. Due to the multifactorial causes and precipitants of TE, it is often challenging to diagnose and manage. Further, the mechanisms through which physiological stress influences the human hair cycle is unknown, and there are no targeted treatments for the management of TE. This review will describe the approach in making a diagnosis of TE, summarize the latest developments made in understanding the mechanisms of TE, outline the treatments tried, and recommend ways for advancing the study of this dermatological condition.
Collapse
Affiliation(s)
- Ginny Oong Chien Yin
- Newcastle University, Newcastle Upon Tyne, UK; Belfast Health and Social Care Trust, Belfast, UK
| | | | - Etienne C E Wang
- National Skin Centre, Singapore; Skin Research Institute of Singapore, Singapore.
| |
Collapse
|