Mendese Gary, Grande Donald
Mystic Valley Dermatology, Stoneham, Massachusetts.
J Clin Aesthet Dermatol. 2013 Sep;6(9):48-9.
The authors report an unusual case of Rocky Mountain spotted fever that presented as an asymptomatic petechial eruption on the lower legs. Rocky Mountain spotted fever is rare in New England and, as such, is typically not on the differential diagnosis when presented with such patients. What began as an asymptomatic eruption progressed to more classic signs of the disease, including a positive Rocky Mountain spotted fever titer. The patient was successfully treated with doxycydine and within a short period of time, was completely back at baseline.
作者报告了一例不寻常的落基山斑疹热病例，该病例最初表现为小腿上无症状的瘀点疹。落基山斑疹热在新英格兰地区较为罕见，因此，当遇到此类患者时，通常不会将其列入鉴别诊断范围。起初的无症状皮疹发展为该疾病更典型的体征，包括落基山斑疹热滴度呈阳性。患者通过强力霉素成功治愈，且在短时间内完全恢复到了基线状态。
