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1

Weber, David J., and David H. Walker. "Rocky Mountain Spotted Fever." Infectious Disease Clinics of North America 5, no. 1 (1991): 19–35. http://dx.doi.org/10.1016/s0891-5520(20)30386-x.

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2

Akinbami, L., and T. L. Cheng. "Rocky Mountain Spotted Fever." Pediatrics in Review 19, no. 5 (1998): 171–72. http://dx.doi.org/10.1542/pir.19-5-171.

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3

Warner, Ronald D., and Wallace W. Marsh. "Rocky Mountain spotted fever." Journal of the American Veterinary Medical Association 221, no. 10 (2002): 1413–17. http://dx.doi.org/10.2460/javma.2002.221.1413.

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4

Akinbami, L. "Rocky Mountain Spotted Fever." Pediatrics In Review 19, no. 5 (1998): 171–72. http://dx.doi.org/10.1542/pir.19.5.171.

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5

Razzaq, Samiya, and Gordon E. Schutze. "Rocky Mountain Spotted Fever." Pediatrics In Review 26, no. 4 (2005): 125–30. http://dx.doi.org/10.1542/pir.26.4.125.

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6

Fischer, Janet J. "Rocky Mountain spotted fever." Postgraduate Medicine 87, no. 4 (1990): 109–18. http://dx.doi.org/10.1080/00325481.1990.11704599.

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7

&NA;. "Rocky Mountain Spotted Fever." Nurse Practitioner 22, no. 3 (1997): 224???229. http://dx.doi.org/10.1097/00006205-199703000-00029.

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8

Lacz, NL, RA Schwartz, and R. Kapila. "Rocky Mountain spotted fever." Journal of the European Academy of Dermatology and Venereology 20, no. 4 (2006): 411–17. http://dx.doi.org/10.1111/j.1468-3083.2006.01489.x.

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9

Phillips, Jennan. "Rocky Mountain Spotted Fever." Workplace Health & Safety 65, no. 1 (2017): 48. http://dx.doi.org/10.1177/2165079916683711.

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The tick-borne disease Rocky Mountain spotted fever (RMSF) can have deadly outcomes unless treated appropriately, yet nonspecific flu-like symptoms complicate diagnosis. Occupational health nurses must have a high index of suspicion with symptomatic workers and recognize that recent recreational or occupational activities with potential tick exposure may suggest RMSF.
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10

Abramson, Jon S., and Laurence B. Givner. "ROCKY MOUNTAIN SPOTTED FEVER." Pediatric Infectious Disease Journal 18, no. 6 (1999): 539–40. http://dx.doi.org/10.1097/00006454-199906000-00012.

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11

Greene, Craig E. "Rocky Mountain spotted fever." Journal of the American Veterinary Medical Association 191, no. 6 (1987): 666–71. https://doi.org/10.2460/javma.1987.191.06.666.

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12

Dantas-Torres, Filipe. "Rocky Mountain spotted fever." Lancet Infectious Diseases 7, no. 11 (2007): 724–32. http://dx.doi.org/10.1016/s1473-3099(07)70261-x.

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13

Thorner, Anna R., David H. Walker, and William A. Petri, Jr. "Rocky Mountain Spotted Fever." Clinical Infectious Diseases 27, no. 6 (1998): 1353–59. http://dx.doi.org/10.1086/515037.

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14

KIRK, JAMES L., DOUGLAS P. FINE, DANIEL J. SEXTON, and HAROLD G. MUCHMORE. "Rocky Mountain Spotted Fever." Medicine 69, no. 1 (1990): 35–45. http://dx.doi.org/10.1097/00005792-199001000-00003.

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15

Harrell, George T. "Rocky Mountain Spotted Fever." Medicine 71, no. 4 (1992): 240–54. http://dx.doi.org/10.1097/00005792-199207000-00006.

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16

WOODWARD, THEODORE E. "Rocky Mountain Spotted Fever." Medicine 71, no. 4 (1992): 255. http://dx.doi.org/10.1097/00005792-199207000-00007.

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17

Sexton, Daniel J., and Keith S. Kaye. "Rocky mountain spotted fever." Medical Clinics of North America 86, no. 2 (2002): 351–60. http://dx.doi.org/10.1016/s0025-7125(03)00091-9.

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18

Jamie, Whitney. "Rocky mountain spotted fever." Primary Care Update for OB/GYNS 9, no. 1 (2002): 28–32. http://dx.doi.org/10.1016/s1068-607x(01)00098-1.

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19

Silber, Jeffrey L. "Rocky Mountain spotted fever." Clinics in Dermatology 14, no. 3 (1996): 245–58. http://dx.doi.org/10.1016/0738-081x(96)00009-0.

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20

Lin, Leyi, and Catherine F. Decker. "Rocky Mountain Spotted Fever." Disease-a-Month 58, no. 6 (2012): 361–69. http://dx.doi.org/10.1016/j.disamonth.2012.03.008.

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21

Comer, Karen M. "Rocky Mountain Spotted Fever." Veterinary Clinics of North America: Small Animal Practice 21, no. 1 (1991): 27–44. http://dx.doi.org/10.1016/s0195-5616(91)50002-4.

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22

Sexton, D. J. "Rocky Mountain spotted fever." Archives of Internal Medicine 145, no. 12 (1985): 2173. http://dx.doi.org/10.1001/archinte.145.12.2173.

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23

Sexton, Daniel J. "Rocky Mountain Spotted Fever." Archives of Internal Medicine 145, no. 12 (1985): 2173. http://dx.doi.org/10.1001/archinte.1985.00360120041005.

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24

Masters, Edwin J., Gary S. Olson, Scott J. Weiner, and Christopher D. Paddock. "Rocky Mountain Spotted Fever." Archives of Internal Medicine 163, no. 7 (2003): 769. http://dx.doi.org/10.1001/archinte.163.7.769.

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25

Sebach, Aaron M. "Rocky Mountain spotted fever." American Nurse Journal 19, no. 5 (2024): 54. http://dx.doi.org/10.51256/anj052454.

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26

Hidalgo, Marylin, Leonora Orejuela, Patricia Fuya, et al. "Rocky Mountain Spotted Fever, Colombia." Emerging Infectious Diseases 13, no. 7 (2007): 1058–60. http://dx.doi.org/10.3201/eid1307.060537.

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27

Estripeaut, Dora, María Gabriela Aramburú, Xavier Sáez-Llorens, et al. "Rocky Mountain Spotted Fever, Panama." Emerging Infectious Diseases 13, no. 11 (2007): 1763–65. http://dx.doi.org/10.3201/eid1311.070931.

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28

Rao Koduri, Prasad. "Fulminant Rocky Mountain Spotted Fever." Critical Care Medicine 24, no. 2 (1996): 365–66. http://dx.doi.org/10.1097/00003246-199602000-00034.

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29

Sessler, Curtis N., and Alpha A. Fowler. "Fulminant Rocky Mountain Spotted Fever." Critical Care Medicine 24, no. 2 (1996): 366. http://dx.doi.org/10.1097/00003246-199602000-00035.

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30

Minniear, Timothy D., and Steven C. Buckingham. "Managing Rocky Mountain spotted fever." Expert Review of Anti-infective Therapy 7, no. 9 (2009): 1131–37. http://dx.doi.org/10.1586/eri.09.94.

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31

Cunha, Burke A. "Rocky Mountain Spotted Fever Revisited." Archives of Internal Medicine 164, no. 2 (2004): 221. http://dx.doi.org/10.1001/archinte.164.2.221.

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32

Dayrell Vivas, Alexandre, Thalita Pinheiro Morel Alineri, Sangia Feucht Freire Nasser Barbosa da Silva, et al. "THE NEW INCREASE IN THE RATE OF CONTAMINATION AND DEATHS RESULTING FROM SPOTTED FEVER IN BRAZIL." International Journal of Advanced Research 11, no. 06 (2023): 348–56. http://dx.doi.org/10.21474/ijar01/17080.

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Rocky Mountain spotted fever is an infectious, acute febrile disease of variable severity. It can range from mild and atypical clinical forms to severe forms, with a high lethality rate. Rocky Mountain spotted fever is caused by a bacterium of the genus Rickettsia, transmitted by tick bites. In Brazil, two species of rickettsiae are associated with clinical conditions of Spotted Fever. Rickettsia rickettsii, which leads to Brazilian Spotted Fever (BSF), considered a serious disease, registered in the north of the state of Paraná and in the states of the Southeast Region. Rickettsia parkeri, w
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33

ABRAMSON, JON S., and LAURENCE B. GIVNER. "Tetracycline for Rocky Mountain Spotted Fever." Pediatrics 87, no. 1 (1991): 125. http://dx.doi.org/10.1542/peds.87.1.125.

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In Reply.— Both Drs Yagupsky and Leggiadro agree with the recommendation that tetracycline would be appropriate for selected indications in children younger than 9 years of age. Dr Yagupsky raises the additional point that controlled studies to establish the length of therapy for the treatment of most rickettsial diseases, including Rocky Mountain spotted fever, are lacking. At our institution, we currently treat children with suspected or proven Rocky Mountain spotted fever until they are afebrile for 2 days or for 5 days total (whichever is longer).
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34

Isaac, Sangeetha, Mohammed Afraz Pasha, Jean H. Vincent, and Khushdeep Chahal. "265. Rocky Mountain Spotted Fever Encephalopathy." Open Forum Infectious Diseases 8, Supplement_1 (2021): S238—S239. http://dx.doi.org/10.1093/ofid/ofab466.467.

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Abstract Background Rocky mountain spotted fever (RMSF) is a rickettsial disease with incidence of 11 per million and is rarely associated with encephalopathy. Here we discuss a patient with RMSF encephalopathy, highlighting the natural course. Methods A 54 year old man with history of hypertension and chronic progressive external ophthalmoplegia, presented with waxing and waning confusion, headache, slurred speech, agitation and difficulty swallowing. He was afebrile and hemodynamically stable. Investigations showed leukocytosis of 15400 and mild transaminitis. Computed-tomography (CT) head w
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35

YAGUPSKY, PABLO. "Tetracycline for Rocky Mountain Spotted Fever." Pediatrics 87, no. 1 (1991): 124. http://dx.doi.org/10.1542/peds.87.1.124.

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To the Editor.— In a recent editorial, Abramson and Givner addressed the problem of using tetracycline in young children for therapy of presumed Rocky Mountain spotted fever (RMSF), due to the potential risk of tooth discoloration.1 The risk appears to depend on the specific agent used (doxycycline causes less staining than do other tetracyclines, possibly because of its lower binding to calcium) and the degree of exposure to tetracycline.2 Unfortunately, current therapeutic recommendations do not provide clear guidelines on the optimal dosage required to treat RMSF.
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36

LEGGIADRO, ROBERT J. "Tetracycline for Rocky Mountain Spotted Fever." Pediatrics 87, no. 1 (1991): 124–25. http://dx.doi.org/10.1542/peds.87.1.124a.

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To the Editor.— I read with interest the editorial by Abramson and Givner on the use of tetracycline for suspected Rocky Mountain spotted fever (RMSF) in children younger than 9 years of age.1 Their discussion of the relative risks and benefits of tetracycline or chloramphenicol for RMSF and their conclusion that the contraindication of tetracycline (due to its risk of teeth-staining) in all children younger than 9 years old does not seem warranted is relevant to another tick-borne infection, tularemia.2
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37

Bushuven, S., M. Bushuven, H. Aken, A. Friedrich, and M. Westphal. "Gefährliches Souvenier - Rocky Mountain Spotted Fever." ZFA - Zeitschrift für Allgemeinmedizin 84, no. 6 (2008): 261–65. http://dx.doi.org/10.1055/s-2008-1078723.

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38

Paddock, Christopher D., John W. Sumner, Carlos E. Remondegui, et al. "Rocky Mountain Spotted Fever in Argentina." American Journal of Tropical Medicine and Hygiene 78, no. 4 (2008): 687–92. http://dx.doi.org/10.4269/ajtmh.2008.78.687.

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39

Woods, Charles R. "Rocky Mountain Spotted Fever in Children." Pediatric Clinics of North America 60, no. 2 (2013): 455–70. http://dx.doi.org/10.1016/j.pcl.2012.12.001.

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40

Barson, William J. "PROBABLE ACTINIC ROCKY MOUNTAIN SPOTTED FEVER." Pediatric Infectious Disease Journal 17, no. 9 (1998): 850–52. http://dx.doi.org/10.1097/00006454-199809000-00028.

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41

Markley, Karyn C., Amy B. Levine, and Ying Chan. "ROCKY MOUNTAIN SPOTTED FEVER IN PREGNANCY." Obstetrics & Gynecology 91, Supplement (1998): 860. http://dx.doi.org/10.1097/00006250-199805001-00030.

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42

Markley, K. "Rocky Mountain Spotted Fever in Pregnancy." Obstetrics & Gynecology 91, no. 5 (1998): 860. http://dx.doi.org/10.1016/s0029-7844(98)00024-6.

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43

Kamper, Claudia. "Treatment of Rocky Mountain spotted fever." Journal of Pediatric Health Care 5, no. 4 (1991): 216–22. http://dx.doi.org/10.1016/0891-5245(91)90067-z.

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44

Lopez, Camily Morales, Eric Zuberi, Michael Acevedo Monsanto, Laura Furtado Pessoa De Mendonca, and Melissa Cortes. "ROCKY MOUNTAIN SPOTTED FEVER INDUCED MYOCARDITIS." Journal of the American College of Cardiology 85, no. 12 (2025): 4132. https://doi.org/10.1016/s0735-1097(25)04616-9.

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45

Abramson, Jon S., and Laurence B. Givner. "Should Tetracycline Be Contraindicated for Therapy of Presumed Rocky Mountain Spotted Fever in Children Less Than 9 Years of Age?" Pediatrics 86, no. 1 (1990): 123–24. http://dx.doi.org/10.1542/peds.86.1.123.

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Antibiotic treatment for suspected Rocky Mountain spotted fever usually must be started prior to confirmation of the diagnosis because of the following: (1) currently available laboratory diagnostic methods usually do not allow definitive diagnosis of Rocky Mountain spotted fever until the second week of illness, and (2) delays in the initiation of antimicrobial therapy until confirmation of diagnosis may lead to significant morbidity and mortality, the latter being as high as approximately 25% in untreated cases.1,2 In areas of high incidence, such as North Carolina, a heightened index of sus
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46

Elghetany, M. Tarek, and David H. Walker. "Hemostatic Changes in Rocky Mountain Spotted Fever and Mediterranean Spotted Fever." American Journal of Clinical Pathology 112, no. 2 (1999): 159–68. http://dx.doi.org/10.1093/ajcp/112.2.159.

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47

Bradshaw, Michael J., Kelly Carpenter Byrge, Kelsey S. Ivey, Sumit Pruthi, and Karen C. Bloch. "Meningoencephalitis due to Spotted Fever Rickettsioses, Including Rocky Mountain Spotted Fever." Clinical Infectious Diseases 71, no. 1 (2019): 188–95. http://dx.doi.org/10.1093/cid/ciz776.

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Abstract Background The spotted fever rickettsioses (SFR), including Rocky Mountain spotted fever, are tick-borne infections with frequent neurologic involvement. High morbidity and mortality make early recognition and empiric treatment critical. Most literature on SFR meningoencephalitis predates widespread magnetic resonance imaging (MRI) utilization. To better understand the contemporary presentation and outcomes of this disease, we analyzed clinical and radiographic features of patients with SFR meningoencephalitis. Methods Patients were identified through hospital laboratory-based surveil
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48

Razzaq, S., and G. E. Schutze. "Rocky Mountain Spotted Fever: A Physician's Challenge." Pediatrics in Review 26, no. 4 (2005): 125–30. http://dx.doi.org/10.1542/pir.26-4-125.

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49

Vilges de Oliveira, Stefan, Álvaro A. Faccini-Martínez, Talita Emile Ribeiro Adelino, Ana Íris de Lima Duré, Amalia R. M. Barbieri, and Marcelo B. Labruna. "Needlestick-Associated Rocky Mountain Spotted Fever, Brazil." Emerging Infectious Diseases 26, no. 4 (2020): 815–16. http://dx.doi.org/10.3201/eid2604.191251.

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50

DOLAN, STEPHEN. "Hearing Loss in Rocky Mountain Spotted Fever." Annals of Internal Medicine 104, no. 2 (1986): 285. http://dx.doi.org/10.7326/0003-4819-104-2-285_1.

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