Electronic Resource
Oxford, UK; Malden, USA
:
Blackwell Publishing Ltd/Inc.
Journal of cutaneous pathology
32 (2005), S. 0
ISSN:
1600-0560
Source:
Blackwell Publishing Journal Backfiles 1879-2005
Topics:
Medicine
Notes:
A 31 year-old female presented with fever, arthralgias and myalgia ten days after returning from Zimbabwe. On physical exam she had scattered small, pink papules over the lower abdomen and two hemorrhagic pustules with central necrosis (eschars) on her left leg and left buttock. There was inquinal lymphadenopathy with no splenomegaly or hepatomegaly. A punch biopsy was performed which showed necrotizing vasculitis with ulceration of overlying epidermis and papillary dermis. Immunohistochemical studies performed at the Center for Disease Control and Prevention were positive for spotted group Rickettsiae. Treatment with doxycycline 200 mg/d for two weeks resulted in complete recovery. The clinical and histopathologic findings were consistent with Tick Bite Fever caused by Rickettsia africae.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1111/j.0303-6987.2005.320hs.x
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