Colorado tick fever in a resident of New York City
S. R. Midoneck, J. Richard and H. W. Murray
Department of Medicine, Cornell University Medical College, New York, NY.
When a traveler returns from abroad with a febrile illness, clinicians
appropriately concern themselves with a potentially vast array of
diagnostic exotica. The patient we describe herein did not leave the United
States but nevertheless posed the same clinical dilemma after returning
home to New York City from the western United States. This case of Colorado
tick fever, acquired on the Utah-Colorado border and first expressed in
Manhattan, serves as a useful reminder of the importance of taking a
careful travel history for national as well as international travelers.
