Fever with rash is one of the most common causes of referral to a dermatologist. A plethora of conditions need to be considered in the differential diagnosis. They may be broadly classified into infectious causes, drug reactions, and autoimmune disorders. Here we present a rare case of rickettsial fever with cardiac involvement in an elderly male patient with no comorbidities.
Keywords: Cardiac involvement; LV dysfunction; Rickettsia conorii; doxycycline; rockymountain spotted fever; spotted fever group rickettsia.