{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T20:57:08Z","timestamp":1758401828374,"version":"3.40.5"},"reference-count":0,"publisher":"Instituto Nacional de Salud (Peru)","license":[{"start":{"date-parts":[[2024,9,3]],"date-time":"2024-09-03T00:00:00Z","timestamp":1725321600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Peru Med Exp Salud Publica"],"abstract":"<jats:p>We present the case of a young female health worker, resident in a high Andean region of Peru, with recent exposure to farm animals and arthropods, who developed acute febrile undifferentiated syndrome, severe thrombocytopenia and pulmonary and abdominal extravasation. Subsequently, the patient developed\u00a0 meningitis and early onset bilateral neurosensorial hypoacusis and showed reactive serology to acute\u00a0 infection by Rickettsia sp. Epidemiological and clinical considerations in the differential diagnosis for early\u00a0 management are discussed.<\/jats:p>","DOI":"10.17843\/rpmesp.2024.413.13393","type":"journal-article","created":{"date-parts":[[2024,9,11]],"date-time":"2024-09-11T18:17:34Z","timestamp":1726078654000},"page":"316-20","source":"Crossref","is-referenced-by-count":1,"title":["Meningitis e hipoacusia neurosensorial por &lt;i&gt;Rickettsia&lt;\/i&gt; sp. en Per\u00fa: reporte de caso","Meningitis and neurosensory hypoacousia due to Rickettsia sp. in Peru: case report"],"prefix":"10.17843","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1023-0689","authenticated-orcid":false,"given":"Mario J.","family":"Agramonte","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9097-0638","authenticated-orcid":false,"given":"Stalin","family":"Vilcarromero","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3306-2534","authenticated-orcid":false,"given":"Zoila","family":"N\u00fa\u00f1ez-Melgar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7920","published-online":{"date-parts":[[2024,9,3]]},"container-title":["Revista Peruana de Medicina Experimental y Salud P\u00fablica"],"original-title":[],"link":[{"URL":"https:\/\/rpmesp.ins.gob.pe\/index.php\/rpmesp\/article\/download\/13393\/5650","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/rpmesp.ins.gob.pe\/index.php\/rpmesp\/article\/download\/13393\/5650","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,11]],"date-time":"2024-09-11T18:17:53Z","timestamp":1726078673000},"score":1,"resource":{"primary":{"URL":"https:\/\/rpmesp.ins.gob.pe\/index.php\/rpmesp\/article\/view\/13393"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,3]]},"references-count":0,"URL":"https:\/\/doi.org\/10.17843\/rpmesp.2024.413.13393","relation":{},"ISSN":["1726-4642","1726-4634"],"issn-type":[{"type":"electronic","value":"1726-4642"},{"type":"print","value":"1726-4634"}],"subject":[],"published":{"date-parts":[[2024,9,3]]}}}