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0 17 10. Biascw of a 1 H MR spectrum from a 1 H MRSI data set with a nominal spatial resolution of 2. sulphur in SO" and S2O7~). 1769 TABLE 371-3 -- SOME CLINICAL FEATURES OF SELECTED RICKETTSIAL DISEASES DISEASE Typhus group Murine typhus Epidemic typhus Brill-Zinsser Disease Spotted Fever Group Rocky Mountain spotted fever Boutonneuse fever USUAL INCUBATION PERIOD (DAYS) 12 (8-16) 12 (10-14) ESCHAR None None None None Often present RASH Distribution Trunk extremities Trunk extremities Trunk extremities Extremities trunk, face Trunk, soles, extremities, face, palms USUAL DURATION OF DISEASE (DAYS) 12 (8-16) 14 (10-18) USUAL SEVERITY Moderate Severe Relatively mild Severe Moderate Relatively mild FEVER AFTER CHEMOTHERAPY (HOURS) 48-72 48-72 48-72 72 24-48 Onset, Day of Disease 5-7 5-7 3-5 3-4 1-3 Often 4-6 present None Type Macular, maculopapular Macular, maculopapular 7 (13-12) 5-7 ?9-17 Macular 7-11 Macular, maculopapular, petechial Macular, maculopapular, petechial 16 (10-20) 10 (7-14) 7 (3-11) Rickettsialpox Ehrlichiosis 7-21 None ?Rare Unknown Petechial 7 (3-19) Often present Trunk face, extremities Papulovesicular Moderate 72 Scrub typhus (tsutsugamushi disease) Q fever 1-12 (9-18) 10-19 Trunk extremities None Macular, maculopapular 7 (3-11) (2-21) Relatively mild Relatively mild 48 (occasionally slow) Severity can vary greatly.

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