Turner R C, Chaplinski T J, Adams H G
Am J Med. 1986 Jul;81(1):153-7. doi: 10.1016/0002-9343(86)90201-9.
A patient presented with findings compatible with thrombotic thrombocytopenic purpura. The diagnosis of Rocky Mountain spotted fever was also considered because the patient was a hunter in a tick-infested area. He was treated for both diagnoses. The patient recovered and a diagnosis of Rocky Mountain spotted fever was confirmed by serologic methods. Clinical symptoms and hematologic parameters of severe Rocky Mountain spotted fever may resemble thrombotic thrombocytopenic purpura, implying that there may be similarities in the pathophysiology of both disorders.
一名患者的检查结果符合血栓性血小板减少性紫癜。落基山斑疹热的诊断也在考虑之中，因为该患者是一名猎人，身处蜱虫滋生的地区。针对这两种诊断，他都接受了治疗。患者康复，落基山斑疹热的诊断通过血清学方法得以确诊。重症落基山斑疹热的临床症状和血液学参数可能类似于血栓性血小板减少性紫癜，这意味着这两种疾病在病理生理学上可能存在相似之处。
