Thrombocytopenic Rocky Mountain Spotted Fever

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Abstract
A MARRIED couple was admitted to Vanderbilt University Hospital in September 1964 with Rocky Mountain spotted fever. Two aspects of their disease appeared unusual: both patients became ill simultaneously and both manifested thrombocytopenia. Although attention has recently been called to the occurrence of thrombocytopenia with Rocky Mountain spotted fever, this association has been considered uncommon.1-3 It is the purpose of this paper to report two further instances of this phenomenon, to survey the literature in this regard, and to suggest that thrombocytopenia occurs much more frequently during the course of Rocky Mountain spotted fever than is currently recognized. Similarly, a review of the literature supports the suggestion that small familial outbreaks of Rocky Mountain spotted fever are a significant, though generally unrecognized, aspect of the epidemiology of this disease. Report of Cases Patient A, a 50-year-old Caucasian woman, and patient B, a 51-year-old Caucasian man, were admitted to Vanderbilt

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