On the Alert for Rocky Mountain Spotted Fever

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Abstract
Rocky Mountain spotted fever has three salient and disturbing features: the incidence of reported cases has risen dramatically since the late 1960's (Fig. 1); the disease might more logically be called "Non-Rocky Mountain spotted fever" or "Eastern spotted fever" (Fig. 2); and, as recorded year after year, approximately 5 to 7 per cent of infected patients die.1 , 2 What is most distressing is that effective antibiotics begun before the sixth day almost invariably cure the disease, whose symptoms usually bring the patient to a physician during the first crucial week of illness. Death can only be avoided by early . . .

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