Rocky Mountain Spotted Fever in Children along the US‒Mexico Border, 2017–2023
Leslie Chiang
1 , Nanda Ramchandar, Jacquelyn Aramkul, Yaron Fireizen, Mark E. Beatty, Madeleine Monroe, Seema Shah, Jennifer Foley, and Nicole G. Coufal
Author affiliation: University of California San Diego, San Diego, California, USA (L. Chiang, N. Ramchandar, Y. Fireizen, J. Foley, N.G. Coufal); Naval Medical Center San Diego, San Diego (N. Ramchandar); Rady Children’s Hospital of San Diego, San Diego (N. Ramchandar, Y. Fireizen, J. Foley, N.G. Coufal); County of San Diego Health and Human Services Agency, San Diego (J. Aramkul, M.E. Beatty, M. Monroe, S. Shah)
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Figure 1
Figure 1. Diffusion-weight magnetic resonance imaging of the brain of a previously healthy 5-year-old boy from Tecate, Mexico, who had Rocky Mountain spotted fever and was treated at Rady Children’s Hospital, San Diego, California, USA. The “starry sky” appearance shows numerous punctate foci of cytotoxic edema involving the supratentorial white matter (arrows), in keeping with acute to subacute injury from small vessel vasculitis.
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