J. Oristrell et al., PLASMA-LEVELS OF TUMOR-NECROSIS-FACTOR-ALPHA IN PATIENTS WITH MEDITERRANEAN SPOTTED-FEVER - CLINICAL AND ANALYTICAL CORRELATIONS, Clinical infectious diseases, 19(6), 1994, pp. 1141-1143
Twenty consecutive patients with serologically confirmed Mediterranean
spotted fever were analyzed for determination of plasma levels of tum
or necrosis factor alpha (TNF-alpha) by means of an ELISA. Increased l
evels of TNF-alpha in plasma were found during the acute phase of the
disease (52.3 +/- 49.8 pg/mL) compared to levels in the convalescent p
hase (9.0 +/- 9.3 pg/mL; P <.001) or in healthy controls (6.5 +/- 3.2
pg/mL; P <.001). Plasma TNF-alpha levels were significantly higher in
patients with severe Mediterranean spotted fever. Levels of TNF-alpha
correlated significantly with serum levels of C-reactive protein and t
riglycerides and inversely with serum levels of sodium.