This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

A Case Masquerading as Rocky Mountain Spotted Fever

Paul S. Bergeson, MD; Sumner L. Schoenike, MD

JAMA. 1977;237(21):2299-2302.

Abstract
Mucocutaneous lymph node syndrome is a recently described entity whose principal signs and symptoms include fever, unresponsiveness to antibiotics, congested conjunctivae, reddening of the oral cavity, lips, palms, and soles, exanthem, edema, nonsuppurative cervical adenitis, and desquamation of the fingertips. Almost 7,000 cases have been reported in Japan. Analysis of the 39 cases reported in the United States reveals findings similar to those in Japan. United States cases, however, have had a higher boyto-girl ratio (2:1), and age distribution peaks at a later time (3 years of age). We report a case with many characteristics of Rocky Mountain spotted fever, including a positive Weil-Felix reaction. Some cases of mucocutaneous lymph node syndrome may be misdiagnosed as Rocky Mountain spotted fever.

(JAMA 237:2299-2302, 1977)

Author Affiliations
From the Department of Pediatrics, Good Samaritan Hospital, Phoenix, Ariz.

Footnotes
Reprint requests to Department of Pediatrics, Good Samaritan Hospital, 1033 E McDowell Rd, Phoenix, AZ 85006 (Dr Bergeson).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Acute Febrile Mucocutaneous Lymph Node Syndrome
Yanagihara and Todd
Arch Pediatr Adolesc Med 1980;134:603-614.
ABSTRACT  

Mucocutaneous Lymph Node Syndrome (Kawasaki Disease) in Adults
Everett
JAMA 1979;242:542-543.
ABSTRACT  

Kawasaki's Disease Appearing as Erythema Multiforme
Bitter et al.
Arch Dermatol 1979;115:71-72.
ABSTRACT