Southern tick-associated rash illness: Difference between revisions

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==Microbiology==
= Southern tick-associated rash illness (STARI) =


*Unknown; although ''Borrelia lonestari'' has been proposed as the causative organism, this has not been confirmed
== Microbiology ==


==Epidemiology==
* Unknown; although ''Borrelia lonestari'' has been proposed as the causative organism, this has not been confirmed


*Transmitted by the Lone star tick, ''[[Vector::Amblyomma americanum]]'', with a presumed deer reservoir
== Epidemiology ==
*Present in southern and south-east US


==Clinical Manifestations==
* Transmitted by the Lone star tick, ''Amblyomma americanum'', with a presumed deer reservoir
* Present in southern and south-east US


*Incubation period of [[Usual incubation period::6 to 9 days]]
== Clinical Presentation ==
*[[Causes::Erythema migrans]], similar to [[Lyme disease]]


===Coinfections===
* Incubation period of 6 to 9 days
* Erythema migrans, similar to Lyme disease


*[[Human monocytic ehrlichiosis]]
=== Coinfections ===
*[[Heartland virus]]
*[[Q fever]]


==Differential Diagnosis==
* Human monocytic ehrlichiosis
* Heartland virus
* Q fever


*[[Lyme disease]]
== Differential Diagnosis ==


==Management==
* Lyme disease


*Reasonable to treat similarly to Lyme disease
== Management ==
*[[Is treated by::Doxycycline]] for 10 to 30 days, or [[Is treated by::amoxicillin]], or [[Is treated by::cefuroxime]]
*Longer treatment favoured for signs of disseminated disease


[[Category:Vector-borne infections]]
* Reasonable to treat similarly to Lyme disease
* Doxycycline for 10 to 30 days, or amoxicillin, or cefuroxime
* Longer treatment favoured for signs of disseminated disease

Latest revision as of 13:40, 5 August 2020

Microbiology

  • Unknown; although Borrelia lonestari has been proposed as the causative organism, this has not been confirmed

Epidemiology

  • Transmitted by the Lone star tick, Amblyomma americanum, with a presumed deer reservoir
  • Present in southern and south-east US

Clinical Manifestations

Coinfections

Differential Diagnosis

Management

  • Reasonable to treat similarly to Lyme disease
  • Doxycycline for 10 to 30 days, or amoxicillin, or cefuroxime
  • Longer treatment favoured for signs of disseminated disease