RT Book, Section A1 Danziger-Isakov, Lara A1 Sabella, Camille A2 Usatine, Richard P. A2 Sabella, Camille A2 Smith, Mindy Ann A2 Mayeaux, E.J. A2 Chumley, Heidi S. A2 Appachi, Elumalai SR Print(0) ID 1114879034 T1 Zoonoses T2 The Color Atlas of Pediatrics YR 2015 FD 2015 PB McGraw-Hill Education PP New York, NY SN 978-0-07-176701-9 LK accesspediatrics.mhmedical.com/content.aspx?aid=1114879034 RD 2024/04/20 AB A 12-year-old boy developed fever to 38.9ÂșC and felt ill. Over the next 2 days, he developed a red spots on his hands and arms, which became petechial (Figure 188-1) and spread to involve his entire upper extremities and trunk. He also developed abdominal pain and a headache. History was significant for a recent camping trip with his family to the Southeastern coast of the US. The parents report that he did sustain several tick bites while camping. He was treated presumptively for Rocky Mountain Spotted Fever (RMSF) with doxycycline, and his symptoms resolved over several days.