Fever and rash in a 3-year-old girl: Rocky mountain spotted fever

Julie M. Kaufmann, Andrea L. Zaenglein, Aditya Kaul, Mary Wu Chang

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations


Initial symptoms of Rocky Mountain spotted fever (RMSF), a tick-borne illness caused by Rickettsia rickettsii, are nonspecific and include headache, gastrointestinal disturbances, malaise, and myalgias, followed by fever and rash. The classic triad of fever, rash, and history of tick exposure is uncommon at presentation. Clinical manifestations of RMSF range from virtually asymptomatic to severe. Because of the potentially fatal outcome of RMSF, presumptive clinical diagnosis and empiric antimicrobial therapy can be critical. We present the case of a 3-year-old girl from New York State who presented with fever and rash.

Original languageEnglish (US)
Pages (from-to)165-168
Number of pages4
Issue number3
StatePublished - Sep 2002

All Science Journal Classification (ASJC) codes

  • Dermatology


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