Treatments for Rocky Mountain spotted fever
Treatment List for Rocky Mountain spotted fever
The list of treatments mentioned in various sources
for Rocky Mountain spotted fever
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
Rocky Mountain spotted fever: Is the Diagnosis Correct?
The first step in getting correct treatment is
to get a correct diagnosis.
Differential diagnosis list for Rocky Mountain spotted fever may include:
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Medical news summaries about treatments for Rocky Mountain spotted fever:
The following medical news items
are relevant to treatment of Rocky Mountain spotted fever:
Discussion of treatments for Rocky Mountain spotted fever:
Appropriate antibiotic treatment should be initiated immediately
when there is a suspicion of Rocky Mountain spotted fever on the basis of clinical and
epidemiologic findings. Treatment should not
be delayed until laboratory
confirmation is obtained.
If the patient is treated within the first 4-5
days of the disease, fever generally subsides within 24-72 hours
after treatment with an appropriate antibiotic (usually a tetracycline). In fact, failure
to respond to a tetracycline antibiotic argues against a diagnosis
of RMSF. Severely ill patients may require longer periods before
their fever resolves, especially if they have experienced damage to
multiple organ systems. Preventive therapy in non-ill patients who have had recent tick
bites is not recommended and may, in fact, only delay the onset of
Doxycycline (100 mg every 12 hours for adults or 4 mg/kg body weight per day in two divided doses for children under
[100 lbs]) is the drug of choice for patients with Rocky Mountain spotted
fever. Therapy is
continued for at least 3 days after fever subsides and until there is
unequivocal evidence of clinical improvement, generally for a minimum total
course of 5 to 10 days. Severe or complicated disease may require longer
treatment courses. Doxycycline is also the preferred drug for patients
with ehrlichiosis, another tick-transmitted infection with signs and
symptoms that may resemble Rocky Mountain spotted fever.
usually not the preferred drug for use in
pregnant women because of risks associated with malformation of teeth and
bones in unborn children. Chloramphenicol is an alternative drug that can be used
to treat Rocky Mountain spotted fever; however, this drug may be associated with a wide range of
side effects and may require careful monitoring of blood levels. (Source: excerpt from Rocky Mountain spotted fever: Treatment: DVRD)
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