Abstract
Rocky mountain spotted fever caused by Rickettsia rickettsii, is a life threatening tick transmitted infection, which is the most prevalent rickettiosis. It remains a diagnostic challenge because of its varied clinical presentation and the overlap of signs and symptoms with other diseases. Under diagnosed and misdiagnosed rickettsial infections are important public health problems. There is neither an effective vaccine nor an assay that is diagnostic during the early stages of the disease when treatment is most effective. Here, we report three cases with varied clinical manifestations.
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