
An Atypical Presentation of Rocky Mountain spotted fever (RMSF)- A Case Report
2546-2549
Correspondence
Amrita .Shriyan Asst.Prof A.J.Institute of Medical Sciences,Dept. of Microbiology,Kuntikan ,NH-17,Mangalore-575004.Karnataka(India)Tel :9986252598. email i.d.:dramrita@ymail.com
Tick-borne illness has a highest incidence in South Central and South East U.S. The presence of Rickettsial diseases in India have been documented in Jammu and Kashmir, Himachal Pradesh, Uttaranchal, Rajasthan, Assam, West Bengal, Maharashtra, Kerala and Tamil Nadu (1),(2),(3),(4),(5),(6),(7),(8). We report here, a case of a 70 year old man admitted with high grade fever and hypotensive and hypovolemic needed emergency intervention. Later, a Weil Felix test was done, followed by a demonstration of rise in titre. IgM ELISA and PCR confirmed the diagnosis of Rickettsiae. The patient was treated with Doxycycline and within 48 hours of treatment with Doxycycline, the patient was off ionotropes and was extubated.With gangrene of the extremities and superadded bacterial infection, the patient’s WBC count had increased and the patient succumbed to death due to sepsis.