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Y/O Months Primigravida Er C/O Fever Headache Rash

Rocky Mountain Spotted Fever (RMSF) presents with fever, headache, and a rash on wrists and torso, caused by Rickettsia rickettsii and treated with Chloramphenicol (or Doxycycline if not pregnant).

La fase prodrómica de la fiebre maculosa de las Montañas Rocosas (RMSF) se presenta como fiebre, dolor de cabeza y un sarpullido en muñecas y torso. Causada por Rickettsia rickettsii, se trata con Cloranfenicol (o Doxiciclina si no está embarazada).

Front 35 y/o ♀ who is 3 months primigravida comes to your ER with c/o fever, headache, and a rash on her wrists and torso. She states she was on a hiking trip in North Carolina a week ago and began to come down with the symptoms two days after her return home. 

What is your ∆sis? 
What is the causative agent?
How would you treat this patient?
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Rocky Mountain Spotted Fever
↓ 
Rickettsii Rickettsia

Chloramphenicol 
(if not pregnant, use doxycycline)

Tags: microbiology

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