Southern tick-associated rash illness: Difference between revisions

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== Microbiology ==
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==Microbiology==
   
* Unknown; although ''Borrelia lonestari'' has been proposed as the causative organism, this has not been confirmed
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*Unknown; although ''Borrelia lonestari'' has been proposed as the causative organism, this has not been confirmed
   
== Epidemiology ==
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==Epidemiology==
   
* Transmitted by the Lone star tick, ''Amblyomma americanum'', with a presumed deer reservoir
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*Transmitted by the Lone star tick, ''[[Vector::Amblyomma americanum]]'', with a presumed deer reservoir
* Present in southern and south-east US
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*Present in southern and south-east US
   
== Clinical Manifestations ==
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==Clinical Manifestations==
   
* Incubation period of [[Usual incubation period::6 to 9 days]]
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*Incubation period of [[Usual incubation period::6 to 9 days]]
* [[Causes::Erythema migrans]], similar to [[Lyme disease]]
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*[[Causes::Erythema migrans]], similar to [[Lyme disease]]
   
=== Coinfections ===
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===Coinfections===
   
* [[Human monocytic ehrlichiosis]]
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*[[Human monocytic ehrlichiosis]]
* [[Heartland virus]]
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*[[Heartland virus]]
* [[Q fever]]
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*[[Q fever]]
   
== Differential Diagnosis ==
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==Differential Diagnosis==
   
* Lyme disease
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*[[Lyme disease]]
   
== Management ==
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==Management==
   
* Reasonable to treat similarly to Lyme disease
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*Reasonable to treat similarly to Lyme disease
* Doxycycline for 10 to 30 days, or amoxicillin, or cefuroxime
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*[[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
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*Longer treatment favoured for signs of disseminated disease
   
 
[[Category:Vector-borne infections]]
 
[[Category:Vector-borne infections]]

Latest revision as of 09:40, 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