Gac Med Mex
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Multicenter Study
Clinical features of patients with Rocky Mountain spotted fever, dengue and chikungunya infection.
Clinical distinction between arbovirus infections and those caused by rickettsia is crucial to initiate appropriate medical treatment. ⋯ Rash on the palms and soles, edema and absence of pruritus, together with high levels of direct bilirubin and severe thrombocytopenia could be useful indicators to differentiate patients at RMSF advanced stages from those with dengue and chikungunya.