Rickettsialpox is a rare vector-borne rickettsiosis that manifests in hosts living in urban populations, particularly in New York City. The following is a case discussion of a 12-year-old girl with history of fever and right-ankle swelling. She was initially evaluated and treated for cellulitis. She later developed a maculopapular rash completing the classic triad for rickettsialpox: black eschar, papular rash, and fever. Her convalescent rickettsial titers returned positive, confirming the diagnosis of rickettsialpox.
Anthonia Hananiya, Lindsey C Douglas, Michele Fagan. Rickettsialpox in a Pediatric Patient. Pediatric emergency care. 2017 Apr;33(4):260-262
PMID: 28353525
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