Siberian tick typhus; North Asian Tick Fever

Etiology: Rickettsia sibirica Epidemiology: 1) endemic in Siberia, Mongolia 2) transmitted by ticks Clinical manifestations: 1) maculopapular skin eruption (rarely vesicular & petechial) 2) eschar at site of tick bite 3) eruption on proximal extremities, spreading to face & trunk 3) headaches 4) myalgias 5) regional adenopathy Management: see Rocky Mountain spotted fever

Related

eschar Rickettsia sibirica

References

Harrison's Principles of Internal Medicine, 14th ed. Fauci et al (eds), McGraw-Hill Inc. NY, 1998, pg 91