• Dermatol. Online J. · Mar 2013

    Case Reports

    Rocky Mountain Spotted Fever in a patient treated with anti-TNF-alpha inhibitors.

    • Rana M Mays, Rachel A Gordon, K Celeste Durham, Whitney J LaPolla, and Stephen K Tyring.
    • Center for Clinical Studies, Webster, TX, USA.
    • Dermatol. Online J. 2013 Mar 15; 19 (3): 7.

    AbstractRocky Mountain Spotted Fever (RMSF) is a tick-bourne illness, which can be fatal if unrecognized. We discuss the case of a patient treated with an anti-TNF-alpha inhibitor for rheumatoid arthritis who later developed a generalized erythematous macular eruption accompanied by fever. The clinical findings were suggestive of RMSF, which was later confirmed with serology. Prompt treatment with doxyclycine is recommended for all patients with clinical suspicion of RMSF.

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