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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

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Calabadions: New Broad-Spectrum Agents to Reverse Neuromuscular Blockade

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sábado, 20 de agosto de 2016

Rocky Mountain Spotted Fever

Pediatric EM Morsels
Pediatric EM Morsels - BY Sean Fox - August 19, 2016
RMSF
"Ticks are disgusting (no offense ticks). They engorge themselves on our blood, becoming bloated sloth-like sacs of our serum. While that is certainly not appealing, what makes them most offensive is their tendency to transmit awful diseases to us. These diseases (and unique conditions – Tick Paralysis) are numerous, but one of the most important to review (especially for those of us in North Carolina, USA) is Rocky Mountain Spotted Fever..."
Moral of the Morsel
  • RMSF is deadly, but initially presents with non-specific symptoms, making it challenging to detect.
  • Classic triad of fever, rash, and tick exposure should not be relied upon.
  • Relying on history of tick exposure (often not known) can obscure diagnosis.
  • Doxycycline is safe and effective in children! Don’t worry about the teeth!
  • Treat RMSF empirically!
  • Be vigilant during peak seasons: Summer-time “Headache and Fever” needs to have RMSF on the top of the DDx."