Pediatric EM Morsels - BY Sean Fox - August 19, 2016
"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."