Mediterranean spotted fever and peripheral facial nerve palsy: a rare neurological complication

Int J Infect Dis. 2022 Apr:117:15-17. doi: 10.1016/j.ijid.2022.01.050. Epub 2022 Jan 30.


Mediterranean spotted fever (MSF) caused by the bacterium Rickettsia conorii is one of the oldest known tick-borne diseases. It is transmitted by the brown dog tick Rhipicephalus sanguineus and occurs mainly in the Mediterranean area. MSF usually presents with a skin rash, high fever, and characteristic eschar at the site of the tick bite. The course of this disease may be benign or life-threatening. Focal neurological manifestations are unusual. We report the case of a patient who presented with an isolated peripheral facial nerve palsy complicating R conorii conorii infection.

Keywords: Mediterranean spotted fever; Peripheral facial nerve palsy; Rickettsia conorii.

Publication types

  • Case Reports

MeSH terms

  • Animals
  • Boutonneuse Fever* / complications
  • Boutonneuse Fever* / diagnosis
  • Boutonneuse Fever* / drug therapy
  • Dogs
  • Facial Nerve
  • Humans
  • Paralysis
  • Rhipicephalus sanguineus* / microbiology
  • Rickettsia conorii*