title: Malignant Mediterranean spotted fever.
abstract: Fever with rash is one of the most common causes of referral to a dermatologist. A plethora of conditions need to be considered in the differential diagnosis. They may be broadly classified into infectious causes, drug reactions, and autoimmune disorders. Here we present a rare case of rickettsial fever with cardiac involvement in an elderly male patient with no comorbidities.
authors.affiliation: Department of Dermatology, Jawaharlal Nehru Medical College, Belgaum, Karnataka, India.
authors.forename: Snehal Balvant
authors.initials: SB
authors.lastname: Lunge
authors.affiliation: Department of Cardiology, Jawaharlal Nehru Medical College, Belgaum, Karnataka, India.
authors.forename: Vaibhav
authors.initials: V
authors.lastname: Patil
authors.affiliation: Department of Cardiology, Jawaharlal Nehru Medical College, Belgaum, Karnataka, India.
authors.forename: Sameer
authors.initials: S
authors.lastname: Ambar
authors.affiliation: Department of Dermatology, Jawaharlal Nehru Medical College, Belgaum, Karnataka, India.
authors.forename: Vishwas
authors.initials: V
authors.lastname: Naik
keywords: Cardiac involvement; LV dysfunction; Rickettsia conorii; doxycycline; rockymountain spotted fever; spotted fever group rickettsia