mediterranean spotted fever in portugal: risk factors for fatal outcome in 105 hospitalized patients. | mediterranean spotted fever (msf) is the most important tick-borne disease in portugal. it is a notifiable disease and during 1989-2000 the annual incidence rate in portugal was 9.8/10(5) inhabitants. although recognized as a benign acute disease and treated mainly with ambulatory procedures, some cases are severe and fatalities have increased in the last few years. in 1997, msf mortality became more evident in beja, a portuguese southern district, with a case fatality rate of 32.3% in hospitali ... | 2003 | 12860641 |