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A patient with spotted fever group rickettsiosis mimicking connective tissue disease

Authors:

R Premaratna ,

Department of Medicine, Faculty of Medicine, University of Kelaniya, LK
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EW Liyanaarachchi,

Department of Medicine, Faculty of Medicine, University of Kelaniya, LK
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RPVJ Rajapakse,

Faculty of Veterinary Medicine, University of Peradeniya, LK
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NKBKRGW Bandara,

Department of Microbiology Faculty of Medicine, University of Kelaniya, LK
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HJ de Silva

Department of Medicine, Faculty of Medicine, University of Kelaniya, LK
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Abstract

Common clinical features associated with spotted fever group (SFG) rickettsioses include fever, headache, arthralgia, arthritis, gastro-intestinal disturbances, lymphadenopathy, hepato-splenomegaly and a discrete maculo-papular rash [1]. However, diverse clinical manifestations associated with SFG rickettsioses have been reported, some presenting with a continued febrile illness with no definite features suggestive of rickettsioses [2]. We describe a patient with SFG rickettsiosis who had small joint arthropathy, cervical lymphadenopathy, hair loss, oral ulceration, and intermittent high fever over a 4 month period. She was later confirmed of having SFG rickettsioses and all her clinical features resolved with anti-rickettsial antibiotics.

DOI: http://dx.doi.org/10.4038/cmj.v57i3.4707

Ceylon Medical Journal 2012; 57: 127-128

Keywords: rickettsiosis
DOI: https://doi.org/10.4038/cmj.v57i3.4707
How to Cite: Premaratna, R., Liyanaarachchi, E., Rajapakse, R., Bandara, N. and de Silva, H., 2012. A patient with spotted fever group rickettsiosis mimicking connective tissue disease. Ceylon Medical Journal, 57(3), pp.127–128. DOI: http://doi.org/10.4038/cmj.v57i3.4707
Published on 28 Sep 2012.
Peer Reviewed

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