41. Rocky Mountain Spotted Fever rocky mountain spotted fever. What is rocky mountain spotted fever (RMSF)? RockyMountain Spotted Fever can be treated with antibiotics. http://www.healthri.org/disease/communicable/rmsf.htm

HEALTHri Disease Prevention Office of Communicable Diseases 3 Capitol Hill - Room 106 Providence, RI 02908 fax: (401) 222-2488 email: LarryR@doh.state.ri.us Communicable Diseases Homepage Alphabetical List of Diseases A-Z ... General Information on Communicable Disease Communicable Diseases In Rhode Island Rocky Mountain Spotted Fever What is Rocky Mountain Spotted Fever (RMSF)? Rocky Mountain spotted fever (RMSF) is a bacterial infection caused by a bite from an infected tick. How is RMSF spread? RMSF is transmitted through the bite of an infected dog (or wood) tick lone star tick or by contamination of the skin with tick blood or feces. The tick must be attached to a person for 4-6 hours in order for the bacteria to become active and infectious for humans. Most transmission occurs between April and September. How do I know if I have RMSF? (Common Symptoms) The symptoms of RMSF start within 3 to 14 days after infection. The symptoms are a moderate to high fever (which can last for two to three weeks in untreated patients), fatigue, deep muscle pain, severe headache, chills, and conjunctivitis. About 50% of the cases of RMSF develop a red rash on the extremities about 3 days after infection, and by day 7, almost 90% of the cases will develop a rash. How can I avoid RMSF?

42. Rocky Mountain Spotted Fever Bug Bytes Volume 3 Number 5 April 11, 1997. rocky mountain spotted fever. SuggestedReading Walker, DH rocky mountain spotted fever A Seasonal Alert. http://www.ccm.lsuhsc-s.edu/BugBytes/Volume3/Bb-v3n5.htm

Bug Bytes Volume 3 Number 5 - April 11, 1997 Rocky Mountain Spotted Fever Rocky Mountain Spotted Fever (RMSF), the most virulent of the rickettsial spotted fevers, is caused by the Gram-negative coccobacillus, Rickettsia rickettsii R. rickettsii is an obligate intracellular pathogen which, after the bite of an infected tick, invades and multiplies within the endothelial cells of veins and arteries. RMSF is not transmitted person-to-person. Epidemiology and Demographics: Prior to the 1930s, RMSF was predominantly seen throughout the Rocky Mountains states. However, since the 1940s RMSF has become much more common in southeastern and south central states than in western states. The Centers for Disease Control have reported that from 1981 - 1992 there were 9,223 cases of RMSF in the United States. Of these cases, 48% were reported from four states: North and South Carolina, Oklahoma, and Tennessee. RMSF can occur in any month, but 90% of cases occur from April to September. The peak incidence of RMSF is in children ages 5 to 9 years with a second, smaller peak in men older than 60 years of age. RMSF is most common in males (55%) and in whites (85%). A history of a recent tick bite is present in 65% to 85% of patients with RMSF. Clinical Features: The incubation period for RMSF is 2 to 14 days. The onset of symptoms is usually sudden and include: fever (94%), headache (86%), and myalgias (82%). Chills, nausea, and vomiting may also be reported. On examination, 80% of patients have a rash, but only 56% have a rash involving the palms or soles, a distribution often considered to be indicative of RMSF. Two "classic triads" are described in RMSF: (1)

43. OHSU Health.com - Infectious Diseases Overview Hepatitis Lyme Disease Malaria Measles Mumps Poliomyelitis (Polio) Rubella(German Measles) rocky mountain spotted fever Sexually Transmitted Diseases http://www.ohsuhealth.com/infectious/rocky.asp

Allergy and Asthma Arthritis Alternative Medicine Blood Disorders Bone Disorders Breast Health Cancer Cardiovascular Diseases Childbirth and Pregnancy Dermatology Diabetes Digestive Disorders Drug Information Ear, Nose and Throat Endocrinology Environmental Medicine Eyecare Glossary Gynecology: Health/Oncology Home Health Care Household/Common Emergency Infectious Diseases Men's Health Mental Health Nervous System Disorders Oral Health Orthopaedic Surgery Pathology Pediatrics Plastic Surgery Pregnancy and Childbirth Prostate Health Radiology Respiratory Disorders Skin Cancer Spine, Shoulder and Pelvis Surgical Care Travel Medicine Urology Women's Health Infectious Diseases Index Statistics HIV/AIDS Chickenpox (Varicella) ... Infectious Diseases Rocky Mountain Spotted Fever Rocky Mountain Spotted Fever (RMSF) is an infection caused by the bite of an infected tick. It affects about 250 to 1200 people a year in the US and usually occurs from April until October, but it can occur anytime during the year where weather is warm. The mid-Atlantic and southeastern states are most affected. The disease is spread to humans from contact with the tick; it is not spread from one person to another. What are the symptoms of Rocky Mountain Spotted Fever?

44. Children's Health At Doernbecher - Child Health A-Z rocky mountain spotted fever, What is rocky mountain spotted fever? Rocky MountainSpotted Fever (RMSF) is an infection caused by the bite of an infected tick. http://www.ohsuhealth.com/dch/health/infectious/disease_rocky.asp

Infectious Diseases Home All About the Immune System Infectious Diseases Adenovirus Infections ... Respiratory Syncytial Virus (RSV) Rocky Mountain Spotted Fever Roseola Rotavirus Infections Rubella (German Measles) Rubeola (Measles) ... Online Resources You have selected the following Health topic: - Adolescent Medicine - Burns - Cardiovascular Disorders - Care of the Terminally Ill Child - Children Having Surgery - Common Childhood Injuries and Poisoning - Craniofacial Anomalies - Dermatology - Diabetes - Eye Care - Genetics - Growth and Development - High-Risk Newborn - High-Risk Pregnancy - Immunizations - Infectious Diseases - Mental Health - Neurological Disorders - Normal Newborn - Oncology - Orthopaedics - The Pediatrician - Pregnancy and Childbirth -Respiratory Disorders - Transplantations - Well-Care Visits Rocky Mountain Spotted Fever RELATED SERVICES Family Medicine General Pediatrics Infectious Diseases What is Rocky Mountain Spotted Fever? Rocky Mountain Spotted Fever (RMSF) is an infection caused by the bite of an infected tick. It affects about 250 to 1200 people a year in the United States and usually occurs from April until October, but it can occur anytime during the year where weather is warm. The mid-Atlantic and southeastern states are most affected. The disease is spread to humans from contact with the tick; it is not spread from one person to another. What are the symptoms of Rocky Mountain Spotted Fever?

45. 1Up Health > Rocky Mountain Spotted Fever > Causes, Incidence, And Risk Factors Comprehesive information on rocky mountain spotted fever (Spotted fever). Rocky Mountainspotted fever Causes, Incidence, and Risk Factors. Alternative names http://www.1uphealth.com/health/rocky_mountain_spotted_fever_info.html

1Up Health Rocky Mountain spotted fever Alternative Medicine Clinical Trials ... Health Topics A-Z Search 1Up Health Rocky Mountain spotted fever Information Rocky Mountain spotted fever Causes, Incidence, and Risk Factors Alternative names : Spotted fever Definition : An infectious disease caused by Rickettsia rickettsii transmitted to humans by the bite of ticks Causes, Incidence, and Risk Factors In the western U.S., the causative agent R rickettsii is transmitted by the wood tick , and in the eastern U.S., by the dog tick. Other ticks transmit the infection in the southern U.S. and in Central and South America. Contrary to the name "Rocky Mountain" most recent cases have been reported in the eastern United States: North and South Carolina, Virginia, Maryland, Georgia, Tennessee, and Oklahoma. Most cases occur in the spring and summer with about 1,000 cases reported per year. Most of the reported cases have been in children. The risk factors include recent hiking or exposure to ticks in an endemic area.

46. Rocky Mountain Spotted Fever Occurring After The Great Imitator rocky mountain spotted fever Occurring After Hospitalizationfor Unrelated Illnesses. MOHAMAD ALI S. ELOUBEIDI http://www.sma.org/smj1997/septsmj97/17text.htm

The Great Imitator: Rocky Mountain Spotted Fever Occurring After Hospitalization for Unrelated Illnesses MOHAMAD ALI S. ELOUBEIDI, MD, CLAUDE S. BURTON, MD, and DANIEL J. SEXTON, MD, Durham, NC ABSTRACT: We describe two patients who had Rocky Mountain spotted fever after they were admitted to the hospital for emergency and elective surgical procedures. We initially thought one patient had a hospital-acquired infection; the correct diagnosis was deduced from epidemiologic clues elicited by consultants. These two cases were also unusual in that one patient had a recurrent rash after an abbreviated course of low-dose doxycycline therapy and the other patient had transient and self-limiting postinfectious polyneuropathy. These cases illustrate that community-acquired infection with Rickettsia rickettsii can occur simultaneously with other disease processes and sometimes mimic a nosocomial infection. ROCKY MOUNTAIN SPOTTED FEVER (RMSF) is often a difficult diagnosis to make, even for skilled clinicians who practice in locations where the disease is endemic. Misdiagnosis is common in clinical practice.1 Because of its diverse clinical features, RMSF has been confused with community-acquired illnesses such as meningococcemia, numerous viral exanthems, hypersensitivity reactions to drugs, thrombotic thrombocytopenic purpura, Staphylococcus aureus bacteremia, acute appendicitis, and even acute cholecystitis.2-7

47. ROCKY MOUNTAIN SPOTTED FEVER Advertisement. rocky mountain spotted fever An acute tick-borne illnesscaused by the bacteria Rickettsia rickettsii. The disease http://www.medhelp.org/glossary/new/gls_3715.htm

Welcome to .... Advertisement ROCKY MOUNTAIN SPOTTED FEVER - An acute tick-borne illness caused by the bacteria Rickettsia rickettsii. The disease is characterized by sudden onset of headache, chills, and fever which can persist for 2-3 weeks. A characteristic rash appears on the extremities and trunk about the 4th day of illness. Med Help International Search Ask the Doctor Forums Patient Network The medical glossary has been made possible by a generous donation from: (revised: 1996) Advertisement

48. Rocky Mountain Spotted Fever Articles, Support Groups, And Resources rocky mountain spotted fever articles, support groups, and resources for patientsfrom Med Help International (www.medhelp.org). rocky mountain spotted fever. http://www.medhelp.org/HealthTopics/Rocky_Mountain_Spotted_Fever.html

[Health Topics A-Z] A B C D ... Z Rocky Mountain Spotted Fever Medical Glossary: ROCKY MOUNTAIN SPOTTED FEVER [Med Help Home] [Library Search] [Medical Forums] ... [Patient Network] Revised: 3/30/2003

49. ASRC Feature: Rocky Mountain Spotted Fever 22904. Please see the disclaimer. rocky mountain spotted fever KeithConover, MD, FACEP http//www.pitt.edu/~kconover. Adapted from http://www.asrc.net/feature/article3/rocky.html

Appalachian Search and Rescue Conference Search and Rescue 44O Newcomb Hall Station, Charlottesville, VA 22904 Please see the Rocky Mountain Spotted Fever Keith Conover, M.D., FACEP http://www.pitt.edu/~kconover RMSF Background Rocky Mountain Spotted Fever is caused by Rickettsia rickettsii, and is transmitted to humans only by the bite of certain ticks. Contrary to its name, RMSF is much more common in Virginia and North Carolina than in the Rocky Moun-tains, though it is found throughout most of the U.S. Ninety five percent of cases occur in the warm months between April and September (when people and ticks are in the woods together). RMSF is most common in children and wilderness travelers. In 1990, 651 cases were reported in the U.S. RMSF Course The normal course for RMSF is about two weeks of severe illness. It is, as the name would lead you to suspect, charac-terized by a spotty macular that is, non-palpable) red rash and high fever. However, the classical syndrome is not all that common (sudden onset, high spiking fever, severe headache, myalgias (muscle aches), weakness, and a rash beginning on the extremities, including palms and soles, then spreading to the trunk). Often, the picture is confused by gradual onset, nonproductive cough, nausea, vomiting, diarrhea, and abdominal pain; a significant minority of patients never notice a rash. Anyone with sudden fever and rash should get medical evaluation with-out delay, as RMSF and related dis-eases may be fatal.

50. Rocky Mountain Spotted Fever Fact Sheet rocky mountain spotted fever. WHO gets rocky mountain spotted fever? Anyonewho handles or is bitten by an infected tick can get the illness. http://www.odh.state.oh.us/Resources/facts/rmsf99.htm

Rocky Mountain Spotted Fever While Rocky Mountain Spotted Fever (RMSF) is widespread in Ohio, and has been reported in most Ohio counties, it occurs most often in Clermont and Lucas counties. WHO gets Rocky Mountain Spotted Fever? Anyone who handles or is bitten by an infected tick can get the illness. WHAT causes Rocky Mountain Spotted Fever? Rocky Mountain Spotted Fever is caused by bacteria transmitted to humans by the American dog tick. WHEN do most cases of Rocky Mountain Spotted Fever occur? RMSF is a disease of late spring and summer. Most cases occur between May and August. WHERE do these ticks live? The American dog tick is found throughout Ohio, and prefers areas with tall grass and weeds, in uncultivated fields and meadows. They cling to grass at the edges of paths or animal trails, waiting to latch onto an animal or human. HOW does Rocky Mountain Spotted Fever make people ill? Can it be treated? Is it fatal? RSMF can be fatal. Ohio has recorded 18 deaths since 1964, including one during 1996. Symptoms can include sudden fever, headache, and muscle pain, usually followed by a rash that first appears on the arms and legs, before spreading to the trunk, palms and soles. The incubation period for RMSF is two to 14 days after tick contact (a bite or handling a tick). Early RMSF may be confused with other illnesses, including

51. Pet Tests Positive For Rocky Mountain Spotted Fever June 26, 2002. Pet tests positive for rocky mountain spotted fever. The majority ofrocky mountain spotted fever cases are reported between April and September. http://www.purdue.edu/UNS/html3month/020626.Guptill.rmsftick.html

Purdue News June 26, 2002 Pet tests positive for Rocky Mountain spotted fever Reynolds, Ind. , in White County. Download Photo Here Photo caption below Kathy Dedaker knew something was wrong when 3-year-old Samson refused his morning dog biscuit. She grew more concerned as the day progressed when he grew weaker and couldn't stand. "Samson couldn't eat, he couldn't get up, he seemed disoriented and he and was vomiting liquid," Dedaker said. "I knew that something was very wrong, and I called our vet immediately." Dr. Charles Anderson of Monticello, Ind. , (and graduate of the Purdue School of Veterinary Medicine) immediately examined Samson and suspected that his symptoms might be indicative of RMSF and sent blood out for evaluation. Meanwhile, Samson's condition progressively worsened, so Dr. Anderson referred his patient to Purdue for emergency treatment. "He couldn't even stand up when he was admitted," said Dr. Suliman Al-Ghazlat, the intern who received the case on June 8. "He exhibited signs of mental disorientation, as well. Twenty-four hours after being admitted, Samson was in a coma." Samson was given emergency treatment, including intravenous administration of the antibiotic doxycycline (a form of tetracycline), and steroids that would help his brain swelling. The Purdue veterinary hospital performed its own lab work and began the process of testing Samson for RMSF, which takes about two weeks to confirm.

52. Rocky Mountain Spotted Fever rocky mountain spotted fever up. Related topics Rocky Mountain spottedfever, rocky mountain spotted fever is a rickettsial disease http://omni.ac.uk/browse/mesh/detail/C0035793L0035793.html

Rocky Mountain Spotted Fever [up] Related topics: other Ehrlichiosis Lyme Disease Tularemia Rocky Mountain spotted fever Rocky Mountain spotted fever is a rickettsial disease caused by Rickettsia rickettsii , a species of bacteria that is spread to humans by ixodid (hard) ticks. This resource is made available by the Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, CDC. This site presents a general overview of Rocky Mountain spotted fever and covers history, epidemiology, clinical signs and symptoms, laboratory findings, treatment, and prevention and control measures. There is also a glossary of useful terms, a FAQ section, suggested reading list, and links to other Web resources. Rocky Mountain Spotted Fever Last modified 28/Mar/2003 [Low Graphics]

53. Rocky Mountain Spotted Fever Back Home Next. rocky mountain spotted fever. Understanding Rocky Mountain SpottedFever rocky mountain spotted fever FAQ. rocky mountain spotted fever. http://www.ability.org.uk/Hemorrhagic_Fevers.html

Our Aims Services Stats ... Z Rocky Mountain Spotted Fever Understanding Rocky Mountain Spotted Fever - Rocky Mountain Spotted Fever FAQ. Rocky Mountain Spotted Fever Rocky Mountain Spotted Fever - The history, prevalence, symptoms, and treatment of this rickettsial infection Webmaster . Site Design by Ability "see the ability, not the disability" Acknowledgments

54. Child Health Library - Infectious Diseases - Rocky Mountain Spotted Fever Information regarding rocky mountain spotted fever from the Child Health Libraryof Children's Hospital of Pittsburgh. rocky mountain spotted fever http://www.chp.edu/greystone/infectious/rmsf.php

About Parents Providers Library ... Research Select Another Subject Adolescent Medicine Arthritis Burns Cardiovascular Disorders Craniofacial Anomalies Dermatology Eye Care Growth and Development High-Risk Newborn High-Risk Pregnancy Infectious Diseases Medical Genetics Mental Health Neurological Disorders Normal Newborn Oncology Orthopaedics Respiratory Disorders Surgery Terminally Ill, Care of Transplantation Urology About Pittsburgh Directions and Parking Departments and Services Neighborhood Locations ... Online Resources Rocky Mountain Spotted Fever What is Rocky Mountain Spotted Fever? Rocky Mountain Spotted Fever (RMSF) is an infection caused by the bite of an infected tick. It affects about 800 people a year in the US and usually occurs from April until October, but it can occur anytime during the year where weather is warm. The mid-Atlantic and southeastern states are most affected. The disease is spread to humans from contact with the tick; it is not spread from one person to another. What are the symptoms of Rocky Mountain Spotted Fever?

55. ROCKY MOUNTAIN SPOTTED FEVER rocky mountain spotted fever (RMSF) is a disease caused by a Rickettsiales organismtransmitted to humans by the bite of an infected Wood tick (Dermacentor http://members.aol.com/webmedic4u/rmsf.html

What is ROCKY MOUNTAIN SPOTTED FEVER What is ROCKY MOUNTAIN SPOTTED FEVER Rocky Mountain spotted fever ( RMSF ) is a disease caused by a Rickettsiales organism transmitted to humans by the bite of an infected "Wood tick" Dermacentor andersoni "American dog tick" Dermacentor variabilis ), the "Black legged tick" Ixodes scapularis ), the " Western Black legged tick" Ixodes pacificus ), the " Lone Star tick Amblyomma americanum and " frequently by other tick species Rickettsiales are, with some exceptions, obligate intracellular organisms that resemble both a virus and a bacteria . Like bacteria, they have cell walls, process enzymes, utilize oxygen, and are susceptible to antibiotics. Like viruses, they require living cells for growth. Because they multiply in endothelial cells of small blood vessels, the resulting damage is the cause of the "spotted" appearance. In the eastern United States, children are infected most frequently. (less than 10 years of age have the highest age-specific incidence of RMSF) In the western United States, disease incidence is highest among adult males. An increase in the number of cases of RMSF has been reported. The only states that have not reported "domestic" cases of RMSF is Maine, Vermont and Hawaii. Clinicians throughout the United States need to consider RMSF in children with rash and fever, particularly those with a history of tick bite or who present during April to September when approximately 90% of RMSF cases occur.

56. ROCKY MOUNTAIN SPOTTED FEVER (RMSF) rocky mountain spotted fever (RMSF). What is rocky mountain spotted fever?Rocky Mountain Who gets rocky mountain spotted fever? Anyone can http://health.utah.gov/els/epidemiology/epifacts/rmsf.html

ROCKY MOUNTAIN SPOTTED FEVER (RMSF) What is Rocky Mountain spotted fever? Rocky Mountain spotted fever is an illness caused by an organism called Rickettsia rickettsii , which infects ticks throughout their lifetime and is passed on to the next generation of ticks. Rodents and other animals may also have the infection, but usually do not show symptoms. Who gets Rocky Mountain spotted fever? Anyone can get Rocky Mountain spotted fever who is bitten by an infected tick and on whom the tick remains for several hours. In spite of it's name, the disease is rarely seen in the Rocky Mountain region; most cases are reported from eastern and central states such as North and South Carolina, Virginia, Georgia, Tennessee, Arkansas, Missouri, Kansas, and Oklahoma. How is Rocky Mountain spotted fever spread? People get Rocky Mountain spotted fever from the bite of an infected tick. There is no evidence of natural person-to-person transmission, however, there have been cases reported in persons who removed infected ticks from other people and in doing so, crushed the ticks and exposed themselves to infection from the tick. What are the symptoms of Rocky Mountain spotted fever?

57. Rocky Mountain Spotted Fever rocky mountain spotted fever Fact Sheet. PDF Version for this Fact Sheet.rocky mountain spotted fever (RMSF) is caused by a bacterium http://edcp.org/factsheets/rockymt_spot_fever.html

EDCP Mission/Vision General Information on Bioterrorism Bioterrorism Information for Health Care Provide rs ... ImmuNet Rocky Mountain Spotted Fever Fact Sheet PDF Version for this Fact Sheet Rocky Mountain Spotted Fever (RMSF) is caused by a bacterium known as Rickettsia rickettsii It is spread by the bite of the American dog tick. Ticks must be attached to the body for at least 4 to 6 hours before they pass RMSF bacteria to humans. Not every tick bite causes RMSF. Symptoms appear 3 to 14 days after a tick bite People with RMSF may have flu-like symptoms, high fever (above 101F), headache, nausea or vomiting, tiredness, stiff neck, joint pain, and swollen lymph nodes. After 3 to 5 days of symptoms, a red rash usually appears on the hands and feet and then spreads to the rest of the body. If the disease is not treated, it can cause death. Anyone can get RMSF People may be exposed when they spend time outdoors in tick-infested areas (such as wooded, brushy, or grassy places). Pets can bring ticks indoors and that may pose a risk to the household. RMSF is commonly seen during April through September, but can occur anytime during the year when there is warm weather.

58. Rocky Mountain Spotted Fever rocky mountain spotted fever. Reno Dillon, 15 months Whitney Guthrie,7 Eric Hoxworth, 12 * Joel Garnett, 3 Jane Clark Varnavas, 36 http://www.angelfire.com/punk/lymedisease/Mrmsf.html

Rocky Mountain Spotted Fever Reno Dillon, 15 months Whitney Guthrie, 7 Eric Hoxworth, 12 * Joel Garnett, 3 ... Donnell McCain, 7* The Nameless Arkansas 1996 Olaf Wicklund Back to Main Memorial Page

59. Rocky Mountain Spotted Fever rocky mountain spotted fever. Rocky Mountain spotted Mountains. QWhat are the symptoms of rocky mountain spotted fever? A After http://www.rush.edu/worldbook/articles/018000a/018000118.html

60. InteliHealth: Rocky Mountain Spotted Fever format. rocky mountain spotted fever. Health A to Z, Reviewed by theFaculty of Harvard Medical School rocky mountain spotted fever http://www.intelihealth.com/IH/ihtIH/WSIHW000/9339/20756.html

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