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

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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