{"id":1676,"date":"2017-08-28T07:41:27","date_gmt":"2017-08-28T11:41:27","guid":{"rendered":"https:\/\/www.roshreview.com\/?p=1676"},"modified":"2024-02-23T16:02:27","modified_gmt":"2024-02-23T16:02:27","slug":"rapid-review-rock-mountain-spotted-fever","status":"publish","type":"post","link":"https:\/\/www.roshreview.com\/blog\/rapid-review-rock-mountain-spotted-fever\/","title":{"rendered":"Rapid Review: Rocky Mountain Spotted Fever"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><em>Reviewed February 2024<\/em><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"732\" height=\"1024\" src=\"https:\/\/www.roshreview.com\/blog\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Rocky-Mountain-Spotted-Fever-RMSF-@8x-1-732x1024.png\" alt=\"\" class=\"wp-image-13413\" srcset=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Rocky-Mountain-Spotted-Fever-RMSF-@8x-1-732x1024.png 732w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Rocky-Mountain-Spotted-Fever-RMSF-@8x-1-215x300.png 215w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Rocky-Mountain-Spotted-Fever-RMSF-@8x-1-768x1074.png 768w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Rocky-Mountain-Spotted-Fever-RMSF-@8x-1-1098x1536.png 1098w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Rocky-Mountain-Spotted-Fever-RMSF-@8x-1-1464x2048.png 1464w\" sizes=\"auto, (max-width: 732px) 100vw, 732px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\"><strong><span style=\"text-decoration: underline;\">Rocky Mountain Spotted Fever (RMSF)<\/span><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>History of recently being in the woods, hiking, or camping<\/li>\n\n\n\n<li><strong>Abrupt onset of severe headache<\/strong>,<strong> photophobia<\/strong>, <strong>vomiting<\/strong>,<strong> diarrhea<\/strong>,<strong> <\/strong>and<strong> myalgia<\/strong><\/li>\n\n\n\n<li>PE will show <strong>maculopapular eruption on palms <\/strong>and<strong> soles<\/strong><\/li>\n\n\n\n<li>Most commonly caused by <strong><em>Rickettsia rickettsii<\/em><\/strong><\/li>\n\n\n\n<li>Empiric treatment based on clinical presentation<\/li>\n\n\n\n<li>Diagnosis confirmed by serologic testing<\/li>\n\n\n\n<li>Treatment is <strong>ALWAYS doxycycline<\/strong>,<strong> even in children<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"text-decoration: underline;\"><strong>Sample question:<\/strong><\/span><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A 19-year-old woman presents with 4 days of <strong>high fever<\/strong>,<strong> headache<\/strong>, and <strong>myalgias<\/strong>. She also developed a <strong>blanching erythematous rash<\/strong> with macules on her <strong>wrists and ankles that spread to her trunk<\/strong>. She reports no history of distant travel but was <strong>camping<\/strong> at a local state park in North Carolina, USA last weekend. Which of the following is the most appropriate treatment?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Reviewed February 2024 Rocky Mountain Spotted Fever (RMSF) 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 <a href=\"https:\/\/www.roshreview.com\/blog\/rapid-review-rock-mountain-spotted-fever\/\">read more&#8230;<\/a><\/p>\n","protected":false},"author":15,"featured_media":6906,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[2020,1996,2021,2022,2023,2024,2025,2026,2027,2028,2029,2011,2012,2013,2000],"tags":[2873,3203,3215],"coauthors":[3864],"class_list":["post-1676","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-adult-gerontology-primary-care","category-blogtype","category-pa-certified","category-certified-emergency-nurse","category-clinical-year","category-didactic-year","category-emergency-medicine","category-emergency-nurse-practitioner","category-family-medicine","category-family-nurse-practitioner","category-internal-medicine","category-pediatric-emergency-medicine","category-pediatric-primary-care","category-pediatrics","category-rapid-review","tag-infectious-diseases","tag-pance","tag-panre"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Rapid Review: Rocky Mountain Spotted Fever - RoshReview.com<\/title>\n<meta name=\"description\" content=\"This Rapid Review distills the important facts about Rocky Mountain spotted fever, so you can brush up your knowledge and be a confident medical professional. 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