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The disease begins at the site of the mite bite as a painless, firm, red lump (nodule). The nodule develops into a fluid-filled blister that bursts and crusts over. This lump may be large -- almost up to an inch wide.
Other symptoms include:
The rash should clear up within a week.
The health care provider will do an examination to look for a rash similar to the one in chickenpox.
Tests include:
Raoult D, Rickettsia akari (Rickettsialpox). In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Pediatric Infectious Diseases. 6th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2005:chap 185.
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