Rickettsialpox
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Published:2021
2021. "Rickettsialpox", Red Book: 2021–2024 Report of the Committee on Infectious Diseases, Committee on Infectious Diseases, American Academy of Pediatrics, David W. Kimberlin, MD, FAAP, Elizabeth D. Barnett, MD, FAAP, Ruth Lynfield, MD, FAAP, Mark H. Sawyer, MD, FAAP
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Rickettsialpox is a febrile, eschar-associated illness characterized by generalized, relatively sparse, erythematous, papulovesicular eruptions on the trunk, face, extremities (less often on palms and soles), and oral mucous membranes. The rash develops 1 to 4 days after onset of fever and 3 to 10 days after appearance of an eschar at the site of the bite of an infected house mouse mite. Regional lymph nodes in the area of the inoculation eschar typically become enlarged. Without specific antimicrobial therapy, systemic disease lasts approximately 7 to 14 days; manifestations include fever, headache, malaise, and myalgia. Less frequent manifestations include anorexia,...