The great imitator: Rocky Mountain spotted fever occurring after hospitalization for unrelated illnesses.

Journal Article (Journal Article)

We describe two patients who had Rocky Mountain spotted fever after they were admitted to the hospital for emergency and elective surgical procedures. We initially thought one patient had a hospital-acquired infection; the correct diagnosis was deduced from epidemiologic clues elicited by consultants. These two cases were also unusual in that one patient had a recurrent rash after an abbreviated course of low-dose doxycycline therapy and the other patient had transient and self-limiting postinfectious polyneuropathy. These cases illustrate that community-acquired infection with Rickettsia rickettsii can occur simultaneously with other disease processes and sometimes mimic a nosocomial infection.

Full Text

Duke Authors

Cited Authors

  • Eloubeidi, MA; Burton, CS; Sexton, DJ

Published Date

  • September 1997

Published In

Volume / Issue

  • 90 / 9

Start / End Page

  • 943 - 945

PubMed ID

  • 9305309

International Standard Serial Number (ISSN)

  • 0038-4348

Digital Object Identifier (DOI)

  • 10.1097/00007611-199709000-00017


  • eng

Conference Location

  • United States