Nelson Textbook of Pediatrics 22nd Edition | Most severe rickettsiosis in the Western Hemisphere. Vector: Dermacentor ticks (dog tick, wood tick). Clinical: fever, severe headache, myalgia, rash (palms/soles, petechial), hyponatremia, thrombocytopenia, elevated LFTs. Treatment: doxycycline (all ages) β do not withhold for fear of tooth staining. High mortality if treatment delayed.
π paeds.online β Pakistan's Pediatric Platform| Feature | Typical Finding |
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