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Japanese Spotted Fever Complicated with Cholecystitis: A Case Report
Junya Ishikawa1, Satoru Ozawa1, Norio Takemoto1
1Department of Surgery, Hashimoto Municipal Hospital, Hashimoto, Wakayama, Japan.
Surgical Case Reports
|July 24, 2026
Summary
Japanese spotted fever (JSF), a rare tick-borne illness caused by Rickettsia japonica, can present with cholecystitis. Early PCR testing and tetracycline treatment are crucial for patients with fever, rash, and eschar in endemic regions.
Area of Science:
- Infectious Diseases
- Tick-borne Illnesses
- Rickettsial Infections
Background:
- Japanese spotted fever (JSF) is a tick-borne disease caused by Rickettsia japonica.
- Classic symptoms include fever, rash, and eschar, indicative of systemic vasculitis.
- Concurrent cholecystitis is an exceptionally rare manifestation of JSF.
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