Abstract:
:Tick-borne diseases in the United States include Rocky Mountain spotted fever, Lyme disease, ehrlichiosis, tularemia, babesiosis, Colorado tick fever, and relapsing fever. It is important for family physicians to consider these illnesses when patients present with influenza-like symptoms. A petechial rash initially affecting the palms and soles of the feet is associated with Rocky Mountain spotted fever, whereas erythema migrans (annular macule with central clearing) is associated with Lyme disease. Various other rashes or skin lesions accompanied by fever and influenza-like illness also may signal the presence of a tick-borne disease. Early, accurate diagnosis allows treatment that may help prevent significant morbidity and possible mortality. Because 24 to 48 hours of attachment to the host are required for infection to occur, early removal can help prevent disease. Treatment with doxycycline or tetracycline is indicated for Rocky Mountain spotted fever, Lyme disease, ehrlichiosis, and relapsing fever. In patients with clinical findings suggestive of tick-borne disease, treatment should not be delayed for laboratory confirmation. If no symptoms follow exposure to tick bites, empiric treatment is not indicated. The same tick may harbor different infectious pathogens and transmit several with one bite. Advising patients about prevention of tick bites, especially in the summer months, may help prevent exposure to dangerous vector-borne diseases.
journal_name
Am Fam Physicianjournal_title
American family physicianauthors
Bratton RL,Corey Rsubject
Has Abstractpub_date
2005-06-15 00:00:00pages
2323-30issue
12eissn
0002-838Xissn
1532-0650journal_volume
71pub_type
杂志文章,评审abstract::Tic disorders and Tourette's syndrome are conditions that primary care physicians are likely to encounter. Up to 20 percent of children have at least a transient tic disorder at some point. Once believed to be rare, Tourette's syndrome is now known to be a more common disorder that represents the most complex and seve...
journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1999-04-15 00:00:00
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journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1997-02-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章,评审
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更新日期:2004-08-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章,评审
doi:
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journal_title:American family physician
pub_type: 杂志文章
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更新日期:1995-12-01 00:00:00
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更新日期:2011-01-15 00:00:00
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journal_title:American family physician
pub_type: 指南,杂志文章,评审
doi:
更新日期:1990-12-01 00:00:00
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journal_title:American family physician
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更新日期:2005-03-01 00:00:00
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journal_title:American family physician
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更新日期:1995-10-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章,评审
doi:
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journal_title:American family physician
pub_type: 杂志文章,评审
doi:
更新日期:1998-12-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
doi:
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journal_title:American family physician
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doi:
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journal_title:American family physician
pub_type: 杂志文章
doi:
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更新日期:2011-02-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
doi:
更新日期:1981-07-01 00:00:00
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journal_title:American family physician
pub_type: 杂志文章
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journal_title:American family physician
pub_type: 杂志文章,评审
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journal_title:American family physician
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journal_title:American family physician
pub_type: 杂志文章
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pub_type: 杂志文章,评审
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journal_title:American family physician
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