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04 August 2018 : Case report  USA

Septic Shock Caused by Rocky Mountain Spotted Fever in a Suburban Texas Patient with Pet Dog Exposure: A Case Report

Unusual clinical course, Mistake in diagnosis, Unusual setting of medical care

Courtney Hatcher1BCDEF*, Brian Karahalios1BCDF, Manjulatha Badam1BCD

DOI: 10.12659/AJCR.909636

Am J Case Rep 2018; 19:917-919

Abstract

BACKGROUND: Rocky Mountain spotted fever (RMSF) is associated with high mortality and requires prompt identification and treatment to ensure better outcomes.

CASE REPORT: We describe an advanced case of RMSF in a 45-year-old female patient with pet dog exposure who presented with altered mental status, dyspnea, and ataxia progressing to septic shock and acute hypoxic respiratory failure requiring intubation and mechanical ventilation.

CONCLUSIONS: This case illustrates the importance of keeping RMSF in the differential diagnosis in patient populations outside of the usual geographic areas of incidence in the appropriate clinical setting.

Keywords: Dermacentor, Rhipicephalus sanguineus, Rocky Mountain Spotted Fever, Tick-Borne Diseases

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923