Difference between revisions of "Southern tick-associated rash illness"

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==Evaluation==
 
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*No testing available
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==Management==
 
==Management==
 
*10 days of [[doxycycline]] or [[amoxicillin]]
 
*10 days of [[doxycycline]] or [[amoxicillin]]

Revision as of 16:10, 17 September 2017

Background

  • STARI (Southern tick-associated rash illness)
  • Transmitted by lone star tick (Amblyomma americanum)
    • female tick has single white dot or "lone star" on its back, aggressive feeders
  • May be caused by spirochete Borrelia lonestari
  • Midwest and Mid-Atlantic states

Clinical Features

  • Resembles Lyme disease in rash, constitutional symptoms, time course
  • May have delayed anaphylaxis (3-6h) to red meat from IgE Ab to glycoprotein in meat of mammals, with negative allergy skin test

Differential Diagnosis

Tick Borne Illnesses

Evaluation

  • No testing available

Management

Disposition

  • Home

See Also

External Links

References