Nelson Textbook of Pediatrics 22nd Edition | Carriรณn disease: Oroya fever (acute phase: severe hemolytic anemia, fever, hepatosplenomegaly) and verruga peruana (chronic phase: hemangioma-like nodules). Endemic to Andes Mountains (Peru, Ecuador, Colombia). Vector: sandfly (Lutzomyia). Treatment: chloramphenicol, ciprofloxacin, rifampin.
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