rocky mountain spotted fever…

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rocky mountain spotted fever, lesions on arm, deer ticks, ticks, rocky mountain spotted fever on the arm, tick imbedded, in the skin, rocky mountain spotted fever on the foot, rocky mountain spotted fever, petechial rash, antibodies, spotted fever, rocky mountain spotted fever, infectious disease, rickettsia rickettsii transmitted to humans by the bite of a tick, western, causative agent, r, rickettsii, is transmitted by the wood tick, eastern, by the dog tick, ticks transmit the infection, in the southern, in central, south america, contrary, name "rocky mountain", most recent cases have been reported, in the eastern united states, north, south carolina, virginia, maryland, georgia, tennessee, oklahoma, most cases occur, in the spring, summer, 1,000 cases reported per year, the reported cases have been in children, risk factors include recent hiking, exposure to ticks in an area, disease is known to occur, fever, chills, incubation period of 2 to 14 days, severe headache, muscle pain, mental confusion, rash, first appearing on wrists, ankles, spreading to most, starts a few days after fever starts, up to 20% of people, not get a rash, additional symptoms that associated, excessive thirst, nausea, vomiting, hallucinations, diarrhea, loss of appetite , abnormal sensitivity to light, low platelets, low red blood cell count in 30% of patients, renal failure, elevated creatinine, clotting problems, elevated pt, ptt, blood, in the urine, protein, in the urine, antibody titer by complement fixation, immunofluorescence that indicates, infection, skin biopsy, site, the rash, rickettsia rickettsii, objective of treatment is careful removal, the tick, skin, antibiotics to eliminate the infection, doxycycline, tetracycline, frequently used, chloramphenicol used in pregnant women, oral tetracycline, doxycycline, children, after all the permanent teeth have erupted, it, permanently discolor teeth, still forming, short periods of time, it is felt that the risks outweigh the benefits, cures the infection, complications, rare but, paralysis, hearing loss, nerve damage, death rate is 5 to 7%, reflects a delay in seeking treatment, pneumonitis, respiratory, cardiac failure, meningitis, brain damage, clotting problems, kidney failure, shock, symptoms develop after exposure to ticks, known tick bite, complications of untreated rocky mountain spotted fever, life threatening, walking, hiking in tick-infested areas, tuck long pants into socks to protect the legs, wear shoes, long-sleeved shirts, ticks, up on white, light colors better than dark colors, making them easier to remove from clothing, remove ticks immediately by using a tweezers, pulling, steadily, insect repellent helpful, less than 1% of ticks carry this infection, antibiotics, given after a tick bite, no evidence of disease, no vaccine against this disease.