title: Rickettsialpox in a Pediatric Patient.
abstract: 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.
authors.affiliation: From the Divisions of *Pediatric Infectious Disease, †Pediatric Hospital Medicine, and ‡Pediatric Emergency Medicine, Department of Pediatrics, Children's Hospital at Montefiore/Albert Einstein College of Medicine, Bronx NY.
authors.forename: Anthonia
authors.initials: A
authors.lastname: Hananiya
authors.forename: Lindsey C
authors.initials: LC
authors.lastname: Douglas
authors.forename: Michele
authors.initials: M
authors.lastname: Fagan
mesh_terms: D016512:Ankle Injuries / Q000209:etiology*; D002648:Child; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D000070316:Pediatric Emergency Medicine; D012288:Rickettsiaceae Infections / Q000175:diagnosis*