This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.
The Tick-Borne Infections in Children Study Group reviewed 92 patients from six hospitals in the southeastern and south-central US treated from 1990 to 2002 for Rocky Mountain spotted fever (RMSF) in order to identify clinical findings associated with death or neurologic deficits at the time of hospital discharge. Patients in the study met established criteria for confirmed or probable RMSF.1,2 Children (median age 5.8 years; range 3.7–9.1) presented to the hospitals a median of six days after the onset of symptoms, most commonly fever (98%), rash (97% [62% petechial]), nausea or vomiting (73%), and headache (61%). Less common symptoms included altered mental status (33%), photophobia (18%), seizures (17%), and coma (10%). Ninety percent of cases occurred between the months of April through August.
Only 49% of children with RMSF reported history …
Individual Login
Institutional Login
You may be able to gain access using your login credentials for your institution. Contact your librarian or administrator if you do not have a username and password.