This content requires an NEJM.org account. Create a free account now. Already have an account? Sign in .

Images in Clinical MedicineFree Preview

Japanese Spotted Fever

List of authors.
  • Kosuke Ishizuka, M.D.,
  • and Makoto Sugaya, M.D., Ph.D.

Select an option below:

This content requires an account.

Create Account

Already have an account?

Sign In

A 68-year-old woman living in Japan presented with a 5-day history of rash and fevers. She had been bitten by a tick 1 week earlier. Examination revealed a petechial rash and eschar on the ankle.


Kosuke Ishizuka, M.D.
Makoto Sugaya, M.D., Ph.D.
International University of Health and Welfare Narita Hospital, Narita, Japan

This content requires an NEJM.org account.

Create Account