Malignant Mediterranean spotted fever

Abstract

Fever with rash is one of the most common causes of referral to a dermatologist. A plethora of conditions need to be considered in the differential diagnosis. They may be broadly classified into infectious causes, drug reactions, and autoimmune disorders. Here we present a rare case of rickettsial fever with cardiac involvement in an elderly male patient with no comorbidities.

Keywords

• Cardiac involvement
• doxycycline
• LV dysfunction
• Rickettsia conorii
• spotted fever group rickettsia
• rockymountain spotted fever