title: Rocky Mountain spotted fever: diagnostic dilemma of the atypical presentation.
abstract: Two patients with Rocky Mountain spotted fever presented with atypical manifestations which led to a delay in diagnosis and treatment. Such clinical manifestations occurring in endemic areas during warm months should not eliminate consideration of the proper diagnosis. If RMSF cannot be ruled out, therapeutic regimens should include appropriate antimicrobial coverage.
mesh_terms: D000293:Adolescent; D000328:Adult; D000372:Agglutination Tests; D002648:Child; D003168:Complement Fixation Tests; D003937:Diagnosis, Differential; D005759:Gastroenteritis / Q000175:diagnosis; D006525:Hepatitis, Viral, Human / Q000175:diagnosis; D006801:Humans; D007922:Leptospirosis / Q000175:diagnosis; D008297:Male; D012373:Rocky Mountain Spotted Fever / Q000150:complications / Q000175:diagnosis*