2014 August
A middle-aged woman had a 6-day history of fatigue, anorexia, fevers, chills, severe headache and myalgias, in late summer. She had recently hiked in New England and had a dog; she was not sexually active. The temperature was 103.5°F (39.7°C), blood pressure 104/50 mm Hg, and pulse 122 beats per minute; the remainder of the exam were normal. The peripheral blood smear is shown.
The most likely diagnosis is which of the following?
What is the diagnosis?
“Spotless” Rocky Mountain Spotted Fever
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