Clinical Review

Rocky Mountain Spotted Fever Presenting as Febrile Pancytopenia

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A 20-year-old soldier presented to the emergency room with a 1-day history of nausea, vomiting, diarrhea, and fever of 102°F. He had recently arrived in San Antonio after extended training at Fort Leonard Wood, Missouri. He stated he had no abdominal pain, melena, or any sick contacts.


 

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