Two Very Sick Kids on Two Opposite Coasts

Dr. Jonathan Schneider has juxtaposed 2 cases of febrile rash in young boys who live in very different geogrpahic regions. He has a good teaching reason for his choices, as you'll find out as you click through the case above.     Internet ResourcesMedscape - Rocky Mountain spotted fever (updated December 2014) http://emedicine.medscape.com/article/228042-overviewCDC Rocky Mountain Spotted Fever (updated 2013)http://www.cdc.gov/rmsf/CDC handout on tickborne diseaseshttp://www.cdc.gov/lyme/resources/tickbornediseases.pdfMedscape – Tick Borne Diseaseshttp://emedicine.medscape.com/article/786652-overviewF Journal ReferencesDrage LA. Life-threatening rashes: dermatologic signs of four infectious diseases. Mayo Clin Proc. 1999;74:68-72.Thorner AR, Walker DH, Petri WA Jr. Rocky mountain spotted fever. Clin Infect Dis. 1998;27:1353-9; quiz 1360Cale DF, McCarthy MW.  Treatment of Rocky Mountain spotted fever in children.  Ann Pharmacother.    1997;31:492-494.Silber JL. Rocky Mountain spotted fever. Clin Dermatol. 1996;1:245-58.Walker DH. Rocky Mountain spotted fever: a seasonal alert.  Clin Infect Dis. 1995;20:1111-7.Dumler JS, Walker DH.  Diagnostic tests for Rocky Mountain spotted fever and other rickettsial diseases.Dermatol Clin. 1994;12:25-36.Myers SA, Sexton DJ.  Dermatologic manifestations  of arthropod-borne diseases.  Infect Dis Clin North Am. 1994;8:689-712.Belman AL. Tick-borne diseases. Semin Pediatr Neurol, 1999;6:249-66.