DO YOU THINK ARE MOSQUITO BITES?

Introduction:The importance of a good diagnosis is a good interrogation with a good physical examination. The smallest detail can give the key to the diagnosis. Objective:We report the case of a woman of 61 years old visited appearing with a bullous lesions possible relation mosquito bites 2 weeks of evolution in cervical lymphadenopathy and fever. The patient reported had been resting on a camping outdoors. Methods: It was recommended Cloxaciclina antiobiotic for a possible folliculitis, or another infection. She went after a week of the treatment for control but she continued with pain and occipital bultomas in scratching scalp and was observed laterocervical adenopathy, fever and rash persisting in erythematous legs and purpuric with some papule; and inflamed joints. So was recommended second antibiotic, ciprofloxacin without improving fever so he contacted the Department of Internal Medicine to study leukocytoclastic vasculitis. In the second examination in internal medicine patient added that he had found a tick, and decided to get a biopsy of her legs. Results and Conclusion: Serology Rickettsia supports conorii acute infection (IgM 1: 192). Fever diagnosis boutonneuse Mediterranea with vasculitis associated in lower extremities was confirmed