Nelson Textbook of Pediatrics 22nd Edition | Rocky Mountain spotted fever (RMSF, Rickettsia rickettsii) β most severe. Mediterranean spotted fever (R. conorii, eschar). Rickettsialpox (R. akari, mite-transmitted). Clinical: fever, rash (palms/soles, petechial), headache, myalgia. Diagnosis: clinical, serology (IFA), PCR. Treatment: doxycycline (all ages) β do not withhold for fear of tooth staining. Prevent tick bites.
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