Motohiro Shingu, Chieko Fujishima, Shigeo Hara, Hiroaki Nishioka
Japanese spotted fever is an emerging rickettsiosis caused by Rickettsia japonica and is characterized by high fever, rash, and eschar formation. Other symptoms are often vague and nonspecific and include headaches, nausea, vomiting, and myalgia. We present a case of a 46-year-old woman with Japanese spotted fever, complicated by transient bilateral sensorineural hearing loss and presenting cutaneous IgM/IgG immune complex vasculitis. The patient was admitted with a history of several days of high fever, generalized skin erythema, and hearing impairment...
April 8, 2024: Journal of Infection and Chemotherapy: Official Journal of the Japan Society of Chemotherapy