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The cutaneous centripetal pattern is a result of cell to cell migration by the causative organism <jats:italic>Rickettsia rickettsii<\/jats:italic>. Such individuals should receive prompt antimicrobial therapy and supportive care to avoid serious and potentially fatal complications.<\/jats:p>","DOI":"10.1111\/j.1468-3083.2006.01489.x","type":"journal-article","created":{"date-parts":[[2006,3,17]],"date-time":"2006-03-17T10:02:00Z","timestamp":1142589720000},"page":"411-417","source":"Crossref","is-referenced-by-count":29,"title":["Rocky Mountain spotted fever"],"prefix":"10.1111","volume":"20","author":[{"given":"NL","family":"Lacz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"RA","family":"Schwartz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Kapila","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,3,17]]},"reference":[{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00145672"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-6632.2003.tb07332.x"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.1067\/mem.2001.114907"},{"key":"e_1_2_11_5_2","first-page":"461","article-title":"Tick\u2010borne diseases","volume":"64","author":"Gayle A","year":"2001","journal-title":"Am Fam Physician"},{"key":"e_1_2_11_6_2","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/S0891-5520(20)30386-X","article-title":"Rocky Mountain spotted fever","volume":"5","author":"Weber DJ","year":"1991","journal-title":"Infect Dis Clin North Am"},{"key":"e_1_2_11_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.157.5.443"},{"key":"e_1_2_11_8_2","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.2000.63.21"},{"key":"e_1_2_11_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(99)00046-7"},{"key":"e_1_2_11_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/0035-9203(92)90330-F"},{"key":"e_1_2_11_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/151.2.367"},{"key":"e_1_2_11_12_2","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1982.03970370018003"},{"key":"e_1_2_11_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-6632.1990.tb42202.x"},{"key":"e_1_2_11_14_2","first-page":"451","article-title":"Rocky Mountain spotted fever \u2013 United States, 1990","volume":"40","author":"Centers for Disease Control.","year":"1991","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"e_1_2_11_15_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198805263182101"},{"key":"e_1_2_11_16_2","doi-asserted-by":"publisher","DOI":"10.7589\/0090-3558-26.1.107"},{"key":"e_1_2_11_17_2","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.1995.52.405"},{"key":"e_1_2_11_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-7125(03)00091-9"},{"key":"e_1_2_11_19_2","doi-asserted-by":"publisher","DOI":"10.1128\/IAI.71.7.4127-4136.2003"},{"key":"e_1_2_11_20_2","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/20.5.1111"},{"key":"e_1_2_11_21_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajcp\/112.2.159"},{"key":"e_1_2_11_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0046-8177(80)80008-6"},{"key":"e_1_2_11_23_2","doi-asserted-by":"publisher","DOI":"10.3109\/15513818509025902"},{"key":"e_1_2_11_24_2","first-page":"171","article-title":"Pathogenesis of myocarditis in Rocky Mountain spotted fever","volume":"104","author":"Walker DH","year":"1980","journal-title":"Arch Pathol Lab Med"},{"key":"e_1_2_11_25_2","doi-asserted-by":"publisher","DOI":"10.3109\/15513818609068864"},{"key":"e_1_2_11_26_2","first-page":"963","article-title":"Rocky Mountain spotted fever. 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