Tiny tick packs a big wallop: Rocky Mountain spotted fever
Helena Sanders is used to seeing ticks. She lives in a rural area outside Fort Payne, Ala., and ticks are common. She and husband Morrison often find them on their dogs, and sometimes on themselves after a walk in the nearby woods. But in early June, Helena found one that had bitten her. Unfortunately, it proved to be among the 1 percent of ticks that carry Rocky Mountain spotted fever.
During the following week, Helena began to have headaches and a fever. She couldn’t keep food down and began to develop a rash. During the next seven days, she made several trips to her doctor and to the local emergency department. On her third visit to the ED, doctors began to suspect Rocky Mountain spotted fever, and quickly packed her into an ambulance for the 106-mile trip to the University of Alabama at Birmingham Hospital.
“Her temperature reached around 103, 104 degrees”, said Morrison. “If they hadn’t gotten her to UAB, she’d be dead.”
Rocky Mountain spotted fever is rare, with less than 1,000 cases per year in the United States. It can be fatal if untreated, but it can be successfully treated with antibiotics once diagnosed.
“The diagnosis of Rocky Mountain spotted fever can be difficult, even though treatment is fairly straightforward,” said Mukesh Patel, M.D., assistant professor of infectious diseases at UAB. “Diagnosis requires complicated, lengthy laboratory tests, but we had a reasonable suspicion Mrs. Sanders had the disease and began treating her with doxycycline at once, even though we didn’t get final confirmation that she had Rocky Mountain spotted fever until nearly a week after her arrival at UAB.”
Helena arrived at UAB on June 14. Her fever spiked on Saturday the 18th, and doctors told Morrison to prepare for the worst.
“I thought I’d lost her on Saturday,” Morrison said. “A fever that high that doesn’t kill you is remarkable.”
After the antibiotics gained the upper hand and the fever finally broke, Helena was moved out of intensive care. Physicians now think she will make a full recovery although it might take another month before the rash disappears completely and she regains her strength.
The name Rocky Mountain spotted fever is something of a misnomer, as the disease is more common in the southeastern states and in Oklahoma.
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However, it has been shown in one long-term trial that treating dogs with doxycycline prevented the development in mosquitoes of the few microfilariae ...Antimicrobial therapy in veterinary medicine
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