rickettsial pox…

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rickettsial pox, infectious disease transmitted by a mite, characterized by a "chickenpox-like" rash rickettsial pox, rickettsia akari, commonly found, endemic, in new york city, urban areas, has been recognized in south africa, korea, russia, transmitted by the bite of a mite which lives on mice, liponyssoides sanguineus, disease begins, site, the mite bite, a painless, firm, red nodule that develops into a vesicle, fluid-filled blister, bursts, crusts over, lesion large, up to an inch across, several days later, patient develops a fever, chills, sweating, diaphoresis, muscle pain, myalgia, over the next 2 to 3 days, a rash develops, many small versions, the initial lesion which resemble the chickenpox rash, lesions clear up, a week, initial large, up to 1 inch, nodule that forms a vesicle, fever, chills, sweating, diaphoresis, muscle pain, myalgia, generalized vesicular rash resembling chicken pox, discomfort, in bright light, photophobia, , physical examination confirms, a rash that resembles chicken pox, serologic studies demonstrate antibody titers to rickettsia akari, cbc goal of treatment is eradication, the infection, medications used include chloramphenicol, tetracycline, doxycycline, full recovery is expected, no complications disorder is treated, call health care provider, child has symptoms suggestive of rickettsial pox, sanitary measures, regard to control of mice, parasites, prevent spread of rickettsialpox.