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Clinical Pediatrics
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*Vasculitis
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Gastrointestinal Symptoms in Rocky Mountain Spotted Fever

Histopathologic Finding of Ulcerative Enteritis with Vasculitis

Jorge Jiminez, M.D.

Department of Pathology, Arkansas Children's Hospital, Little Rock, Arkansas

William J. Byrne, M.D.

Department of Pediatrics, Arkansas Children's Hospital, Little Rock, Arkansas

Joanna J. Seibert, M.D.

Department of Radiology, Arkansas Children's Hospital, Little Rock, Arkansas

Arthur R. Euler, M.D.

Department of Pediatrics, Arkansas Children's Hospital, Little Rock, Arkansas

Gastrointestinal symptoms are often present in patients with Rocky Mountain Spotted Fever (RMSF), particularly early in the course of the illness. However, pathologic changes in the gastrointestinal tract have not been reported in a child who has survived. We document vasculitis in the terminal ileum of a child with RMSF who also had radiographic findings consistent with involvement of the entire small bowel. An appreciation for the gastrointestinal manifestations should facilitate a rational approach to their management and prevent a delay in diagnosis.

Clinical Pediatrics, Vol. 21, No. 10, 581-584 (1982)
DOI: 10.1177/000992288202101001


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Home page
Arch Intern MedHome page
D. H. Walker, H. R. Lesesne, V. A. Varma, and W. C. Thacker
Rocky Mountain Spotted Fever Mimicking Acute Cholecystitis
Arch Intern Med, December 1, 1985; 145(12): 2194 - 2196.
[Abstract] [PDF]