2023
DOI: 10.7759/cureus.50681
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Complicated Japanese Spotted Fever With Meningitis in an Older Patient: A Case Report

Shiho Amano,
Shinichiro Suyama,
Nozomi Nishikura
et al.

Abstract: Japanese spotted fever (JSF) poses a significant public health challenge, mainly due to its atypical presentation in specific demographics. This report details a unique case of JSF in an 89-year-old female who was admitted to a rural hospital exhibiting generalized pain and rapid cognitive decline but no rash. Initially misdiagnosed as polymyalgia rheumatica, her condition was complicated by thrombocytopenia and altered mental state, prompting consideration of tick-borne illnesses. Subsequent serological analy… Show more

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