A 68-year-old woman in Japan presents with fever, a spreading petechial rash, and an eschar. Explore the diagnosis of this classic Tick-borne illness.
A 68-year-old woman living in Japan presented to the clinic with a 5-day history of fevers, myalgias, and petechial rash spreading on her arms, trunk, palms, and soles. On exam, there was also an eschar on the right medial ankle. Laboratory studies showed thrombocytopenia, elevated inflammatory markers, and elevated liver transaminases. Which of the following is the most appropriate treatment?
What is the most likely diagnosis?
Eschar, Japanese Spotted Fever, Rickettsia, Tetracycline, Thrombocytopenia
