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Rocky Mountain spotted fever

Последний просмотренный: 11 Jun 2025
Last updated: 24 Apr 2024

Резюме

Определение

Анамнез и осмотр

Ключевые диагностические факторы

  • known recent tick exposure or bite
  • triad of fever, rash, and history of tick exposure
  • triad of fever, rash, and headache
  • fever
  • rash
  • headache
  • nausea/vomiting
  • myalgia
  • altered mental status
Полная информация

Другие диагностические факторы

  • abdominal pain
  • residence in or recent exposure to rural area
  • diarrhea
  • conjunctivitis
  • lymphadenopathy
  • peripheral edema
  • meningismus
  • splenomegaly
  • hepatomegaly
  • jaundice
  • seizures
  • shock
  • coma
Полная информация

Факторы риска

  • illness onset in spring or summer
  • returned travelers from an endemic area
  • recent (within 2 weeks) outdoor exposure
  • known antecedent tick bite
  • exposure to dogs or pets that spend time outdoors
Полная информация

Диагностические исследования

Исследования, которые показаны в первую очередь

  • CBC
  • serum electrolytes and blood urea nitrogen
  • LFTs
  • indirect immunofluorescent antibody
  • blood culture
Полная информация

Исследования, проведение которых нужно рассмотреть

  • complement fixation
  • latex agglutination
  • indirect hemagglutination
  • microagglutination
  • enzyme immunoassay
  • lumbar puncture
  • convalescent serology
  • chest x-ray
  • abdominal CT scan
  • immunohistochemistry
  • polymerase chain reaction
Полная информация

Алгоритм лечения

Начальные

suspected Rocky Mountain spotted fever

Составители

Авторы

Christopher A. Ohl, MD

Professor of Medicine

Section on Infectious Diseases

Wake Forest School of Medicine

Winston-Salem

NC

Раскрытие информации

CAO declares that he has no competing interests.

Выражение благодарностей

Professor Christopher A. Ohl would like to gratefully acknowledge Dr Steven C. Buckingham, a previous contributor to this topic. SCB is an author of several references cited in this topic. We were made aware that Dr Steven C. Buckingham is now deceased.

Рецензенты

Mary Anne Jackson, MD

Chief

Section of Pediatric Infectious Diseases

Children's Mercy Hospital and Clinics

Professor of Pediatrics

University of Missouri-Kansas City School of Medicine

Kansas City

MO

Раскрытие информации

MAJ is an author of several references cited in this topic.

Список литературы

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Основные статьи

Biggs HM, Behravesh CB, Bradley KK, et al. Diagnosis and management of tickborne rickettsial diseases: Rocky Mountain spotted fever and other spotted fever group rickettsioses, ehrlichioses, and anaplasmosis - United States. MMWR Recomm Rep. 2016;65:1-44.Полный текст  Аннотация

Centers for Disease Control and Prevention. Tickborne diseases of the United States: a reference manual for health care providers, sixth edition. Aug 2022.Полный текст

Centers for Disease Control and Prevention. Rocky Mountain spotted fever: information for healthcare providers. Feb 2019 [internet publication].Полный текст

Статьи, указанные как источники

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

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