Rocky Mountain Spotted Fever is caused by which organism?

Prepare for the American Board of Family Medicine Examination. Test your knowledge with flashcards and multiple choice questions, each with explanations and hints. Ready yourself for success!

Multiple Choice

Rocky Mountain Spotted Fever is caused by which organism?

Explanation:
Rocky Mountain Spotted Fever is caused by Rickettsia rickettsii, a gram-negative, obligate intracellular bacterium transmitted by hard ticks (notably Dermacentor species). The infection targets vascular endothelium, leading to vasculitis that produces fever, headache, and a rash that often starts on the wrists and ankles before spreading to the trunk. This organism is distinct from others listed: Borrelia burgdorferi causes Lyme disease and is transmitted by Ixodes ticks with a different clinical pattern (erythema migrans and migratory symptoms); Ehrlichia chaffeensis causes ehrlichiosis with fever and cytopenias and a different vector; Yersinia pestis causes plague transmitted by fleas and presents with buboes and severe systemic illness.

Rocky Mountain Spotted Fever is caused by Rickettsia rickettsii, a gram-negative, obligate intracellular bacterium transmitted by hard ticks (notably Dermacentor species). The infection targets vascular endothelium, leading to vasculitis that produces fever, headache, and a rash that often starts on the wrists and ankles before spreading to the trunk. This organism is distinct from others listed: Borrelia burgdorferi causes Lyme disease and is transmitted by Ixodes ticks with a different clinical pattern (erythema migrans and migratory symptoms); Ehrlichia chaffeensis causes ehrlichiosis with fever and cytopenias and a different vector; Yersinia pestis causes plague transmitted by fleas and presents with buboes and severe systemic illness.

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