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Rocky Mountain spotted fever Neurological symptoms in the acute phase

From the Departments of Neurology and Pediatrics, University Hospitals, University of Iowa College of Medicine, Iowa City

SUMMARYThree cases of Rocky Mountain spotted fever in children have been described, with emphasis on the neurological features of the acute stage of the illness. The disease may closely resemble meningococcemia, bacterial meningitis, encephalitis, or measles encephalitis, allowing misdiagnosis and subsequent ineffective therapy. Metabolic and coagulation abnormalities are discussed, in addition to diagnostic and management principles.

Dr. Bell's address is Department of Pediatrics, University Hospitals, Iowa City, Iowa 52240.

Submitted for publication Jan. 9, 1970; resubmitted Jan. 23, 1970; accepted Jan. 27, 1970.

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