Rocky Mountain spotted fever pathophysiology

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Rocky Mountain spotted fever Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Pathophysiology & Etiology

Gimenez stain of tick hemolymph cells infected with R. rickettsii
  • Rocky Mountain spotted fever is caused by Rickettsia rickettsii, a small bacterium that grows inside the cells of its hosts.
  • These bacteria range in size from 0.2 x 0.5 micrometers to 0.3 x 2.0 micrometers.
  • They are difficult to see in tissues by using routine histologic stains and generally require the use of special staining methods.
  • In the human body, rickettsiae live and multiply primarily within cells that line small- to medium-sized blood vessels.
  • Spotted fever group rickettsiae can grow in the cytoplasm or in the nucleus of the host cell.
  • Once inside the host the rickettsiae multiply, resulting in damage and death to these cells.
  • This causes blood to leak through tiny holes in vessel walls into adjacent tissues.
  • In turn the leakage process causes the rash that is traditionally associated with Rocky Mountain spotted fever and also causes damage to organs and tissues.

Taxonomy

Classifications
Domain Bacteria
Kingdom Prokaryote
Phylum Proteobacteria
Class Alpha Protobacteria
Order Rickettsiales
Family Rickettsiaceae
Genus Rickettsia
Species Rickettsii

References