Gastrointestinal Symptoms in Rocky Mountain Spotted Fever

Abstract

Gastrointestinal symptoms are often present in patients with Rocky Mountain Spotted Fever (RMSF), particularly early in the course of the illness. However, pathologic changes in the gastrointestinal tract have not been reported in a child who has survived. We document vasculitis in the terminal ileum of a child with RMSF who also had radiographic findings consistent with involvement of the entire small bowel. An appreciation for the gastrointestinal manifestations should facilitate a rational approach to their management and prevent a delay in diagnosis.