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Doxycycline is the treatment of choice for RMSF, and all other tickborne rickettsial diseases. Use of antibiotics other than doxycycline is associated with a higher risk of fatal outcome from RMSF. Presumptive treatment with doxycycline is recommended in patients of all ages, including children
Most symptomatic rickettsial diseases cause moderate illness, but others, including RMSF (also called Brazilian spotted fever), epidemic typhus, scrub typhus, and Mediterranean spotted fever, can be life-threatening in some cases, particularly when treatment is delayed.
Most symptomatic rickettsial diseases cause moderate illness, but others, including RMSF (also called Brazilian spotted fever), epidemic typhus, scrub typhus, and Mediterranean spotted fever, can be life-threatening in some cases, particularly when treatment is delayed.
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One group of bacteria ticks carry is called rickettsiae. Thats why these tick-borne conditions are called rickettsial diseases. But not all diseases that ticks carry are rickettsial. For instance, Lyme disease is caused by a different bacteria called Borrelia burgdorferi.
rickettsii, the causative agent of Rocky Mountain spotted fever (RMSF). R. parkeri rickettsiosis and RMSF have similar signs and symptoms, including fever, headache, and rash, but also typically include the appearance of an inoculation eschar (seen at right) at the site of tick attachment.
Patients typically present with symptoms four to ten days after exposure to the Rickettsia species via a flea or tick bite. Symptoms classically include the triad of fever, headache, and a petechial or maculopapular rash.
The biggest difference is the kind of bacteria that causes the infections. Lyme disease is caused by species from the bacteria group borrelia burgdorferi, while RMSF is caused by a bacteria known as rickettsia. Outside of causing different symptoms, you can determine the type of infection through laboratory testing.
Rocky Mountain Spotted Fever is reportable in Orange County within seven (7) calendar days of identification.

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