1 Children's Memorial Hospital, University of Oklahoma Medical Center, Oklahoma City, Oklahoma
I would like to comment on the case of Rocky Mountain spotted fever with multiple coagulation disturbances reported by Atkins, et al. in Pediatrics, 36:327, 1965, and the letter concerning this case from Doctor Stryker in Pediatrics, 37:386, 1966. In our experience the association of thrombocytopenia with Rocky Mountain spotted fever (RMSF) is not uncommon. We have accumulated 19 cases of this infection associated with thromboctyopenia. After the preliminary report of this association appeared from this clinic, personal communication from other clinics in this and other regions brought to light the occurrence of other cases.