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rash, first appearing on wrists and ankles, then spreading to most of the body, usually starts a few days after fever starts; up to 20% of people do not get a rash

Additional symptoms that may be associated with this disease:

Signs and Tests

low platelets
low red blood cell count in 30% of patients
possible renal failure, elevated creatinine
possible clotting problems, elevated PT and PTT
blood in the urine and protein in the urine
antibody titer by complement fixation or immunofluorescence that indicates the presence of infection
skin biopsy at the site of the rash may show the Rickettsia rickettsii

Ency. home > Disease > R > Rocky Mountain spotted fever

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