title: A fatal urban case of rocky mountain spotted fever presenting an eschar in San Jose, Costa Rica.
abstract: This study reports the first urban human case of Rocky Mountain spotted fever caused by Rickettsia rickettsii, in Costa Rica. An 8-year-old female who died at the National Children's Hospital 4 days after her admission, and an important and significant observation was the presence of an "eschar" (tache noire), which is typical in some rickettsial infections but not frequent in Rocky Mountain spotted fever cases.
authors.affiliation: Hospital Nacional de Niños, San José, Costa Rica. anapatricia03@yahoo.com.mx
authors.forename: Ana Patricia
authors.initials: AP
authors.lastname: Argüello
authors.forename: Laya
authors.initials: L
authors.lastname: Hun
authors.forename: Patricia
authors.initials: P
authors.lastname: Rivera
authors.forename: Lizeth
authors.initials: L
authors.lastname: Taylor
mesh_terms: D001681:Biological Assay; D002648:Child; D003364:Costa Rica; D004269:DNA, Bacterial / Q000737:chemistry / Q000235:genetics; D017809:Fatal Outcome; D005260:Female; D006651:Histocytochemistry; D006801:Humans; D016133:Polymerase Chain Reaction; D012284:Rickettsia rickettsii / Q000235:genetics / Q000302:isolation & purification*; D012373:Rocky Mountain Spotted Fever / Q000175:diagnosis* / Q000276:immunology / Q000382:microbiology; D014505:Urban Population
chemical_list: D004269:DNA, Bacterial