An Italian Air Force helicopter pilot said smoke was invading the helicopter cabin, making rescue even more challenging.
"With the wind, smoke entered into the helicopter cabin, acrid smoke," Maj. Antonio Laneve told Italian state TV. Some of those they were trying to rescue were very frightened of being hoisted up by helicopter given the adverse weather, he said.
Nine of those evacuated were taken to the Italian town of Lecce, authorities said. Of those, three children and a pregnant woman were treated for hypothermia in Lecce hospital. Dr. Raffaele Montinaro said the children were in "excellent" condition, and emergency room doctor, Antonio Palumbo, said the mother's condition was also good.
"For sure they are scared," said Eligio Rocco Catamo, manager of the Copertino hospital. "But I should say that I was impressed by the calm and the serenity they are showing."
A local convent was housing survivors who were released from the hospital.
The Italian Navy said the man who died and his injured wife were transported by helicopter to the southern Italian city of Brindisi. It was unclear how the death and injury occurred, but the Greek Coast Guard said the pair _ both Greek passengers _ were found in a lifeboat rescue chute.
The second injury was to a member of the Italian military involved in the rescue operation, Coast Guard Admiral Giovanni Pettorino said.
Pettorino told Italy's Sky TG24 TV that two Italian tugs tried to attach themselves to the ferry in the evening, but were frustrated by the thick smoke.
Passengers described scenes of terror and chaos when the fire broke out as they slept in their cabins.
"They called first on women and children to be evacuated from the ship," Vassiliki Tavrizelou, who was rescued along with her 2-year-old daughter, told The Associated Press.
"Ships could not approach us because of the rain and winds," Tavrizelou said in a telephone interview from Lecce. "We were at least four hours on the deck, in the cold and rain."
She recalled the ship alarm going off and seeing fire from her cabin. "Then we heard explosions," she said. It was not immediately clear what the explosions were, and the cause of the fire has yet to be determined.
The ship, run by a Greek ferry company, was packed with holidaymakers and truck drivers making the popular transport run between Greece and Italy. Of those on board, 234 passengers and 34 crew are Greek, said Greek Merchant Marine spokesman Nikos Lagadianos.
Other passengers are from several other countries, including Turkey, Albania, Italy, Germany, Switzerland, Belgium and France. The crew is Greek and Italian.
Greek Prime Minister Antonis Samaras was in contact with his Italian counterpart, Matteo Renzi, to coordinate the operation.