Difference between revisions of "Southern tick-associated rash illness"
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==Background== | ==Background== | ||
| − | *STARI | + | *Abbreviation: STARI |
*Transmitted by lone star tick (Amblyomma americanum) | *Transmitted by lone star tick (Amblyomma americanum) | ||
**female tick has single white dot or "lone star" on its back, aggressive feeders | **female tick has single white dot or "lone star" on its back, aggressive feeders | ||
*May be caused by spirochete Borrelia lonestari | *May be caused by spirochete Borrelia lonestari | ||
*Midwest and Mid-Atlantic states | *Midwest and Mid-Atlantic states | ||
| + | |||
==Clinical Features== | ==Clinical Features== | ||
*Resembles Lyme disease in rash, constitutional symptoms, time course | *Resembles Lyme disease in rash, constitutional symptoms, time course | ||
Revision as of 17:09, 17 September 2017
Contents
Background
- Abbreviation: STARI
- 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
- Babesiosis
- Colorado tick fever
- Ehrlichiosis
- Heartland virus
- Lyme
- Murine typhus
- Rocky mountain spotted fever
- Southern tick-associated rash illness (STARI)
- Tick paralysis
- Tularemia
Evaluation
- No testing available
Management
- 10 days of doxycycline or amoxicillin
- No evidence this is beneficial, but commonly given
Disposition
- Home
See Also
External Links
References
- Hall J, Khan Sajid Small Bugs with Big Bites, EM Resident Oct/Nov 2014 Vol 4:5; 10
- http://www.cdc.gov/stari/symptoms/index.html
Authors:
Claire, Kenn Ghaffarian, Neil Young, Daniel Ostermayer, Ross Donaldson