This is the report of a case of Rocky Mountain spotted fever, with observations made at autopsy, which is of unusual interest with regard to (1) mode of infection, (2) character and distribution of the rash, (3) lateness of appearance of the rash and (4) jaundice.
REPORT OF CASE
M. F., aged 23, a white, married, unemployed American woman, admitted to Emergency Hospital June 7, 1938, complained of headache, chills and fever of four days' duration. She had been perfectly well until the afternoon of June 4, when she was taken with severe frontal headache and burning of the eyes. Shortly thereafter aching in her chest and legs and a slight cough developed. During the night she had a shaking chill followed by a rise in temperature and a drenching sweat. These symptoms continued, and the day before admission a decrease in auditory acuity, without earache, developed. The