{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T04:27:59Z","timestamp":1745468879721,"version":"3.40.4"},"reference-count":8,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Med Princ Pract"],"published-print":{"date-parts":[[2018]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Objective:&lt;\/i&gt;&lt;\/b&gt; To describe a rare case of acute Q fever with tache noire. &lt;b&gt;&lt;i&gt;Clinical Presentation and Intervention:&lt;\/i&gt;&lt;\/b&gt; A 51-year-old man experienced acute Q fever showing tache noire, generally considered a pathognomonic sign of Mediterranean spotted fever (MSF) and MSF-like illness, but not a clinical feature of Q fever. The patient was treated with doxycycline 100 mg every 12 h. &lt;b&gt;&lt;i&gt;Conclusion:&lt;\/i&gt;&lt;\/b&gt; In the Mediterranean area, tache noire should be considered pathognomonic of MSF but it should not rule out Q fever. Clinical diagnosis should be supported by accurate laboratory diagnostic tests to guide proper management.<\/jats:p>","DOI":"10.1159\/000486573","type":"journal-article","created":{"date-parts":[[2018,1,3]],"date-time":"2018-01-03T22:01:50Z","timestamp":1515016910000},"page":"92-94","source":"Crossref","is-referenced-by-count":3,"title":["Tache Noire in a Patient with Acute Q Fever"],"prefix":"10.1159","volume":"27","author":[{"given":"Vito","family":"Fiore","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabiola","family":"Mancini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandra","family":"Ciervo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paola","family":"Bagella","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"Peruzzu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Nunnari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni Andrea","family":"Deiana","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Rezza","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio","family":"Babudieri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giordano","family":"Madeddu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2018,1,3]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1007\/s15010-016-0921-z"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.trstmh.2007.11.001"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.3201\/eid1804.111583"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1186\/s13071-016-1316-9"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1099\/jmm.0.021543-0"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1155\/2011\/248418"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.pt.2015.06.014"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1086\/426440"}],"container-title":["Medical Principles and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/486573","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/486573","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T16:35:11Z","timestamp":1745426111000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000486573"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018]]},"references-count":8,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018,4,19]]},"published-print":{"date-parts":[[2018,4,25]]}},"URL":"https:\/\/doi.org\/10.1159\/000486573","archive":["Portico"],"relation":{},"ISSN":["1011-7571","1423-0151"],"issn-type":[{"type":"print","value":"1011-7571"},{"type":"electronic","value":"1423-0151"}],"subject":[],"published":{"date-parts":[[2018]]}}}