<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1409-0015</journal-id>
<journal-title><![CDATA[Medicina Legal de Costa Rica]]></journal-title>
<abbrev-journal-title><![CDATA[Med. leg. Costa Rica]]></abbrev-journal-title>
<issn>1409-0015</issn>
<publisher>
<publisher-name><![CDATA[Asociación Costarricense de Medicina Forense]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1409-00152019000100014</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Respecto a un caso de rickettsia rickettsii en Costa Rica]]></article-title>
<article-title xml:lang="en"><![CDATA[Regarding a rickettsia rickettsii case in Costa Rica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bolaños]]></surname>
<given-names><![CDATA[Pamela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chacón]]></surname>
<given-names><![CDATA[Melissa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital San Juan de Dios  ]]></institution>
<addr-line><![CDATA[San José ]]></addr-line>
<country>Costa Rica.</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital San Juan de Dios  ]]></institution>
<addr-line><![CDATA[San José ]]></addr-line>
<country>Costa Rica.</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<volume>36</volume>
<numero>1</numero>
<fpage>14</fpage>
<lpage>20</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1409-00152019000100014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1409-00152019000100014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1409-00152019000100014&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Las rickettsiosis representan una zoonosis de etiología bacteriana intracelular, las cuales son transmitidas por vectores como artrópodos a la piel y luego a las células endoteliales microvasculares. La Fiebre de las Montañas Rocosas (FMMR) causada por Rickettsiarickettsiies la más grave, y es una enfermedad reportada en Costa Rica desde 1977, que causa daño endotelial directo asociado a liberación de citocinasproinflamatorias y estrés oxidativo, lo que lleva a un proceso de vasculitis de pequeño y mediano vaso. La enfermedad se manifiesta clínicamente por fiebre acompañada de cefalea y mialgias, síntomas gastrointestinales y un brote cutáneo. El diagnóstico es basado en la clínica, la exposición a vectores y el respaldo de ensayos de laboratorio; y las tetraciclinas son su tratamiento de elección. El objetivo del presente trabajo es documentar un caso clínico confirmado de Fiebre Manchada de las Montañas Rocosas en Costa Rica, para evidenciar la importancia de considerar esta entidad como un diagnóstico diferencial en un síndrome febril agudo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Rickettsiosis represents a zoonosis of intracellular bacterial etiology, which is transmitted by vectors such as arthropods to the skin and then to microvascular endothelial cells. Rocky Mountain Fever caused by Rickettsia rickettsii is the most serious, and it is a disease reported in Costa Rica since 1977. It causes direct endothelial damage associated with the release of proinflammatory cytokines and oxidative stress, which leads to a vasculitis of the small and medium vessels. The disease is manifested clinically by fever headache, myalgias, gastrointestinal symptoms and a cutaneous rash. The diagnosis is based on clinical manifestations, exposure to vectors and the support of laboratory tests; and tetracyclines are the treatment of choice. The objective of this work is to document a case of a Rocky Mountain Spotted Fever in Costa Rica, to demonstrate the importance of considerate this entity as a differential diagnosis in an acute febrile syndrome.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Ricketssia rickettssi]]></kwd>
<kwd lng="es"><![CDATA[rickettssiosis]]></kwd>
<kwd lng="es"><![CDATA[Fiebre Manchada de las Montañas Rocosas]]></kwd>
<kwd lng="es"><![CDATA[pruebas febriles]]></kwd>
<kwd lng="es"><![CDATA[artrópodos]]></kwd>
<kwd lng="es"><![CDATA[zoonosis]]></kwd>
<kwd lng="en"><![CDATA[Ricketssiarickettssi]]></kwd>
<kwd lng="en"><![CDATA[rickettssiosis]]></kwd>
<kwd lng="en"><![CDATA[Rocky Mountain Spotted Fever]]></kwd>
<kwd lng="en"><![CDATA[febrile]]></kwd>
<kwd lng="en"><![CDATA[tests]]></kwd>
<kwd lng="en"><![CDATA[arthropods]]></kwd>
<kwd lng="en"><![CDATA[zoonoses]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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