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Empirical Administration of Doxycycline for Rocky Mountain Spotted Fever: A Case Report
Rocky Mountain spotted fever (RMSF) is a tick-borne illness that can cause extreme sickness, even death, in otherwise healthy individuals. Sometimes, it is difficult to confirm the diagnosis as the rash often lags behind other symptoms of the illness and may not occur at all. Other symptoms of RMSF...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10663404/ https://www.ncbi.nlm.nih.gov/pubmed/38022143 http://dx.doi.org/10.7759/cureus.47492 |
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author | Dey, Proma Mitu, Mitara J Chakrabarty, Swarna Mou, Adrita Nourin Islam, Mohammad F |
author_facet | Dey, Proma Mitu, Mitara J Chakrabarty, Swarna Mou, Adrita Nourin Islam, Mohammad F |
author_sort | Dey, Proma |
collection | PubMed |
description | Rocky Mountain spotted fever (RMSF) is a tick-borne illness that can cause extreme sickness, even death, in otherwise healthy individuals. Sometimes, it is difficult to confirm the diagnosis as the rash often lags behind other symptoms of the illness and may not occur at all. Other symptoms of RMSF are nonspecific, such as fever, headache, and malaise. Besides the confirmatory serology test, antibody titers remain negative in the early phase of the illness. Here, we reported a case of a 21-year-old male who presented with fever, mild headache, body aches, joint pain, dry cough, and characteristic maculopapular rash after visiting a tick-prone area. Doxycycline was started because symptoms and laboratory values heightened our suspicion for the diagnosis of RMSF. His condition improved gradually, and his labs became normal. Our study supports the empirical use of doxycycline in suspected RMSF cases. |
format | Online Article Text |
id | pubmed-10663404 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-106634042023-10-22 Empirical Administration of Doxycycline for Rocky Mountain Spotted Fever: A Case Report Dey, Proma Mitu, Mitara J Chakrabarty, Swarna Mou, Adrita Nourin Islam, Mohammad F Cureus Internal Medicine Rocky Mountain spotted fever (RMSF) is a tick-borne illness that can cause extreme sickness, even death, in otherwise healthy individuals. Sometimes, it is difficult to confirm the diagnosis as the rash often lags behind other symptoms of the illness and may not occur at all. Other symptoms of RMSF are nonspecific, such as fever, headache, and malaise. Besides the confirmatory serology test, antibody titers remain negative in the early phase of the illness. Here, we reported a case of a 21-year-old male who presented with fever, mild headache, body aches, joint pain, dry cough, and characteristic maculopapular rash after visiting a tick-prone area. Doxycycline was started because symptoms and laboratory values heightened our suspicion for the diagnosis of RMSF. His condition improved gradually, and his labs became normal. Our study supports the empirical use of doxycycline in suspected RMSF cases. Cureus 2023-10-22 /pmc/articles/PMC10663404/ /pubmed/38022143 http://dx.doi.org/10.7759/cureus.47492 Text en Copyright © 2023, Dey et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Internal Medicine Dey, Proma Mitu, Mitara J Chakrabarty, Swarna Mou, Adrita Nourin Islam, Mohammad F Empirical Administration of Doxycycline for Rocky Mountain Spotted Fever: A Case Report |
title | Empirical Administration of Doxycycline for Rocky Mountain Spotted Fever: A Case Report |
title_full | Empirical Administration of Doxycycline for Rocky Mountain Spotted Fever: A Case Report |
title_fullStr | Empirical Administration of Doxycycline for Rocky Mountain Spotted Fever: A Case Report |
title_full_unstemmed | Empirical Administration of Doxycycline for Rocky Mountain Spotted Fever: A Case Report |
title_short | Empirical Administration of Doxycycline for Rocky Mountain Spotted Fever: A Case Report |
title_sort | empirical administration of doxycycline for rocky mountain spotted fever: a case report |
topic | Internal Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10663404/ https://www.ncbi.nlm.nih.gov/pubmed/38022143 http://dx.doi.org/10.7759/cureus.47492 |
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