Reinauer K M, Jaschonek K, Kusch G, Heizmann W R, Döller P C, Jenss H
Medizinische Universitätsklinik und Poliklinik, Universität Tübingen.
Dtsch Med Wochenschr. 1990 Jan 12;115(2):53-6. doi: 10.1055/s-2008-1064970.
After returning from a holiday in the USA a 24-year-old man fell ill with diarrhoea, high fever and marked rash including the palms of the hands and soles of the feet. When a history of a tick bite in the USA was elicited, a rickettsial infection was suspected. Treatment with doxycycline, 100 mg twice daily, was instituted finally and the fever slowly resolved. The patient became completely well again within four weeks. Serological tests confirmed the diagnosis of Rocky Mountain spotted fever.
一名24岁男子在美国度假归来后，出现腹泻、高烧并伴有明显皮疹，皮疹包括手掌和脚底。当得知他在美国有被蜱虫叮咬的经历后，怀疑是立克次体感染。最终开始使用强力霉素治疗，每日两次，每次100毫克，高烧逐渐消退。四周内患者完全康复。血清学检测确诊为落基山斑疹热。
