RMSF and Serious Tick-Borne Illnesses (Lyme, Ehrlichiosis, Babesiosis and Tick Paralysis)
Rocky Mountain spotted fever (RMSF) and other tick-borne illnesses, a burden predominantly in the summer season, produce symptoms ranging from fever to paralysis. Although often benign, sequela can range from chronic arthritis to neurologic or cardiac illness. Especially in the areas of the North America where tick-borne illnesses are more prevalent, tick-borne illnesses require vigilance on the provider’s part to inquire about recent outdoor activity. Prevention is paramount including the use of protective clothing and tick repellent.
KeywordsBabeosis Borrelia burgdorferi Doxycycline Ehrlichiosis Erythema migrans Lyme disease Rickettsia rickettsia Rocky Mountain spotted fever Tick-borne illness Tick paralysis
- 1.Biggs HM, Behravesh CB, Bradley KK, et al. Centers for Disease Control and Prevention (CDC). Diagnosis and management of tickborne rickettsial diseases: rocky mountain spotted fever and other spotted fever group rickettsioses, ehrlichioses, and anaplasmosis – United States. MMWR. 2016;65(2):1–44.CrossRefPubMedGoogle Scholar
- 8.American Academy of Pediatrics 2017 Summer Safety Tips. https://www.aap.org/en-us/about-the-aap/aap-press-room/news-features-and-safety-tips/pages/summer-safety-tips.aspx.
- 10.Sexton DJ, McClain MT. Clinical manifestations and diagnosis of Rocky Mountain spotted fever. UpToDate May 18, 2016.Google Scholar
- 17.Pickering LK, Baker CJ, Kimberlin DW, Long SS, editors. Rocky Mountain spotted fever In Red book: 2012 report of the committee on infectious diseases. 29th ed. Elk Grove Village: American Academy of Pediatrics; 2012. p. 623–625.Google Scholar
- 20.Shapiro E. Lyme disease: clinical manifestations in children. UpToDate June 26, 2016.Google Scholar
- 21.Hu L. Treatment of Lyme disease. UpToDate June 19, 2017Google Scholar
- 24.Wormser GP, Dattwyler RJ, Shapiro ED, et al. The clinical assessment, treatment, and prevention of Lyme disease, human granulocytic anaplasmosis, and babesiosis: clinical practice guidelines by the Infectious Diseases Society of America. Clin Infect Dis. 2006;43(9):1089–134.CrossRefPubMedGoogle Scholar
- 26.Sexton DJ, McClain MT. Human ehrlichiosis and anaplasmosis. UpToDate Aug 15, 2016.Google Scholar
- 29.Gelfand JA, Vannier EG. Clinical manifestations, diagnosis, treatment and prevention of babesiosis. UpToDate Mar, 2017.Google Scholar
- 30.CDC Babesiosis. Surveillance for Babesiosis – United States 2014, Annual Summary reported Feb 29, 2016. https://www.cdc.gov/parasites/babesiosis/resources/babesiosis_surveillance_summary_2016.pdf.
- 33.CDC Babesiosis. Treatment DPDx Laboratory identification of parasitic diseases of public health concern. Updated Nov 29, 2013. https://www.cdc.gov/dpdx/babesiosis/tx.html.