Southern tick-associated rash illness
Revision as of 20:33, 6 December 2014 by Rossdonaldson1 (talk | contribs) (Rossdonaldson1 moved page STARI to Southern tick-associated rash illness)
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, w/ negative allergy skin test
Differential Diagnosis
Workup
- No testing available
Management
- 10d doxycycline or amoxicillin
- No evidence this is beneficial, but commonly given
Disposition
- Home
See Also
External Links
Sources
- 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