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June 1974, Vol 127, No. 6 >
Article | June 1974

Tick-Borne Disease FREE

GLENN C. SZALAY, MD
Am J Dis Child. 1974;127(6):909. doi:10.1001/archpedi.1974.02110250135023.
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To the Editor.—In the December issue of the Journal (126:779, 1973), McReynolds and Roy emphasize the early diagnosis of Rocky Mountain spotted fever so that antibiotic therapy may be instituted prior to the onset of serious, life-threatening complications. I would like to stress, as do others,1 that specific antibiotic therapy may have to be begun before the development of any rash, especially if the patient lives (or has traveled recently in) an endemic area and gives a history of tick bites.

Such tetracycline therapy, in a seriously ill individual, may fortuitously prove beneficial for other tick-borne diseases such as tularemia.2 However, in the case of some tick-borne diseases (Table1,3-10), this antibiotic therapy would be of no benefit at all.

REFERENCES

1 +
Hattwick MAW, et al:  Surveillance of Rocky Mountain spotted fever . JAMA 225:1338-1343, 1973;.
Link to Article
2 +
Szalay GC:  Tularemia in California: An "imported" case . Clin Pediatr 13:375-376, 1974;.
Link to Article
3 +
Wisseman CL:  Rickettsial disease , in Top FH, Wehrle PF (eds): Communicable and Infectious Diseases , ed 7. St. Louis, CV Mosby Co, 1972;, p 534, Table 53-1.
4 +
Center for Disease Control. Morbidity Mortality Weekly Rep 22:349-350, 1973;.
5 +
Center for Disease Control. Morbidity Mortality Weekly Rep 21:374, 1972;.
6 +
Center for Disease Control. Morbidity Mortality Weekly Rep 22:242-247, 1973;.
7 +
Center for Disease Control. Morbidity Mortality Weekly Rep 22:266-267, 1973;.
8 +
Center for Disease Control. Morbidity Mortality Weekly Rep 22:331-332, 1973;.
9 +
Lagos JC, Thies RE:  Tick paralysis without muscle weakness . Arch Neurol 21:471-474, 1969;.
Link to Article
10 +
Goldfield M, et al:  A non-fatal human case of Powassan virus encephalitis . Am J Trop Med Hyg 22:78-81, 1973;.

Figures

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Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Hattwick MAW, et al:  Surveillance of Rocky Mountain spotted fever . JAMA 225:1338-1343, 1973;.
Link to Article
2 +
Szalay GC:  Tularemia in California: An "imported" case . Clin Pediatr 13:375-376, 1974;.
Link to Article
3 +
Wisseman CL:  Rickettsial disease , in Top FH, Wehrle PF (eds): Communicable and Infectious Diseases , ed 7. St. Louis, CV Mosby Co, 1972;, p 534, Table 53-1.
4 +
Center for Disease Control. Morbidity Mortality Weekly Rep 22:349-350, 1973;.
5 +
Center for Disease Control. Morbidity Mortality Weekly Rep 21:374, 1972;.
6 +
Center for Disease Control. Morbidity Mortality Weekly Rep 22:242-247, 1973;.
7 +
Center for Disease Control. Morbidity Mortality Weekly Rep 22:266-267, 1973;.
8 +
Center for Disease Control. Morbidity Mortality Weekly Rep 22:331-332, 1973;.
9 +
Lagos JC, Thies RE:  Tick paralysis without muscle weakness . Arch Neurol 21:471-474, 1969;.
Link to Article
10 +
Goldfield M, et al:  A non-fatal human case of Powassan virus encephalitis . Am J Trop Med Hyg 22:78-81, 1973;.

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