Diagnosis and Management of Tickborne Rickettsial Diseases: Rocky Mountain Spotted Fever and Other Spotted Fever Group Rickettsioses, Ehrlichioses, and Anaplasmosis

An excellent and detailed review of Rickettsial diseases. Doxycycline is the drug of choice and can be used in most case, even in pregnancy and young children. Mediterranean spotted fever is endemic in the Mediterranean basin, Middle East, parts of Africa, and the Indian subcontinent. This infection can be severe or fatal; in Portugal, a case-­fatality rate of 21% among hospitalized adults has been described.

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