Journal
PEDIATRIC INFECTIOUS DISEASE JOURNAL
Volume 32, Issue 9, Pages 1036-1039Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/INF.0b013e318296b24b
Keywords
Rickettsia spp. 364D; tick-borne; rickettsiosis
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We describe the clinical course of the first 3 pediatric cases infected with Rickettsia spp. 364D. Although the pathogen was identified in California ticks decades ago, only recently have human cases been documented. Clinical features are generally mild, characterized by eschar, fever, headache, malaise and lymphadenopathy. Antigenic similarity among rickettsiae leads to cross-reactive antibody responses; definitive diagnosis requires molecular methods.
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