Myocarditis, Pericarditis, and Cardiac Tamponade Associated With Rocky Mountain Spotted Fever

![Figure][1] [![Graphic][3] ][3][![Graphic][4] ][4] A 25-year-old woman presented with sepsis syndrome and diffuse purpuric rash (A) . The electrocardiogram showed diffuse ST-segment elevation (B) . Cardiac troponin-I and creatine kinase-myocardial band levels were markedly