Rapid Review: Rocky Mountain Spotted Fever
Reviewed February 2024
Rocky Mountain Spotted Fever (RMSF)
- History of recently being in the woods, hiking, or camping
- Abrupt onset of severe headache, photophobia, vomiting, diarrhea, and myalgia
- PE will show maculopapular eruption on palms and soles
- Most commonly caused by Rickettsia rickettsii
- Empiric treatment based on clinical presentation
- Diagnosis confirmed by serologic testing
- Treatment is ALWAYS doxycycline, even in children
Sample question:
A 19-year-old woman presents with 4 days of high fever, headache, and myalgias. She also developed a blanching erythematous rash with macules on her wrists and ankles that spread to her trunk. She reports no history of distant travel but was camping at a local state park in North Carolina, USA last weekend. Which of the following is the most appropriate treatment?
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Categories: Adult-Gerontology Primary Care , Certified , Certified Emergency Nurse , Clinical Year , Didactic Year , Emergency Medicine , Emergency Nurse Practitioner , Family Medicine , Family Nurse Practitioner , Internal Medicine , Pediatric Emergency Medicine , Pediatric Primary Care , Pediatrics , Rapid Review ,
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