{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T18:30:43Z","timestamp":1787855443454,"version":"build-2784847793"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,1,22]],"date-time":"2024-01-22T00:00:00Z","timestamp":1705881600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,1,22]],"date-time":"2024-01-22T00:00:00Z","timestamp":1705881600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Infect Dis"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>The healthcare system in Iran appears to overlook Mediterranean spotted fever (MSF) as an endemic disease, particularly in pediatric cases, indicating the need for greater attention and awareness.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A six-year-old patient with fever, abdominal pain, headache, skin rashes, diarrhea, vomiting, and black eschar (tache noire) from southeast Iran was identified as a rickettsiosis caused by <jats:italic>Rickettsia conorii<\/jats:italic> subsp. <jats:italic>israelensis<\/jats:italic> through clinical and laboratory assessments, including IFA and real-time PCR. The patient was successfully treated with doxycycline.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Symptoms like rash, edema, eschar, and abdominal pain may indicate the possibility of MSF during the assessment of acute febrile illness, IFA and real-time PCR are the primary diagnostic methods for this disease.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12879-024-09002-y","type":"journal-article","created":{"date-parts":[[2024,1,22]],"date-time":"2024-01-22T14:02:36Z","timestamp":1705932156000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Rickettsia conorii subsp. israelensis infection in a pediatric patient presenting skin rash and abdominal pain: a case report from Southeast Iran"],"prefix":"10.1186","volume":"24","author":[{"given":"Ali","family":"Hosseininasab","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Safoura","family":"MoradKasani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ehsan","family":"Mostafavi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neda","family":"Baseri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Sadeghi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saber","family":"Esmaeili","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,1,22]]},"reference":[{"issue":"4","key":"9002_CR1","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1111\/j.1708-8305.1997.tb00816.x","volume":"4","author":"LA Palau","year":"1997","unstructured":"Palau LA, Pankey GA. Mediterranean spotted fever in travelers from the United States. J Travel Med. 1997;4(4):179\u201382.","journal-title":"J Travel Med"},{"issue":"3","key":"9002_CR2","doi-asserted-by":"publisher","first-page":"515","DOI":"10.1016\/j.idc.2008.03.003","volume":"22","author":"C Rovery","year":"2008","unstructured":"Rovery C, Raoult D. Mediterranean spotted fever. Infect Dis Clin N Am. 2008;22(3):515\u201330.","journal-title":"Infect Dis Clin N Am"},{"issue":"3","key":"9002_CR3","doi-asserted-by":"publisher","first-page":"198","DOI":"10.1093\/tropej\/fmp065","volume":"56","author":"NV Tikare","year":"2010","unstructured":"Tikare NV, Shahapur PR, Bidari LH, Mantur BG. Rickettsial meningoencephalitis in a child\u2014a case report. J Trop Pediatr. 2010;56(3):198\u2013200.","journal-title":"J Trop Pediatr"},{"key":"9002_CR4","doi-asserted-by":"crossref","unstructured":"Spernovasilis N, Markaki I, Papadakis M, Mazonakis N, Ierodiakonou D. 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