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  • Title: Murine Typhus Mimicking Kawasaki Disease in a Preadolescent Girl.
    Author: Karalexi MA, Mitrogiorgou M, Atsali E, Theodorakopoulos A, Attilakos A, Tsagris V.
    Journal: Pediatr Infect Dis J; 2018 Oct; 37(10):e260-e261. PubMed ID: 29742650.
    Abstract:
    We report the case of an 11-year-old preadolescent girl presenting with prolonged fever, lymphadenitis, nonpurulent conjunctivitis, a generalized maculopapular rash, erythematous lips and edema of hands/feet. Although major diagnostic criteria for Kawasaki disease were met, local epidemiologic data suggested a possible vector-borne etiology. Treatment with doxycycline was initiated, and defervescence occurred. Laboratory investigation confirmed the diagnosis of Rickettsia typhi infection.
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