February 21, 2017
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Rocky Mountain Spotted Fever (RMSF) (cont.)

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What is the treatment for Rocky Mountain spotted fever?

Antibiotics are the treatment for RMSF. Doxycycline is the antibiotic of choice in children and adults suspected of having RMSF. Antibiotic treatment is most effective if started within the first five days of symptom onset, so prompt treatment with antibiotics should be initiated in any individual suspected of having RMSF, even before confirmatory laboratory testing results are available. The early initiation of antibiotics decreases the mortality rate of RMSF from 20% to less than 1%. For individuals who are allergic to doxycycline, and in some pregnant patients, chloramphenicol (Chloromycetin, Econochlor, Ocu-Chlor) is an alternative antibiotic that can be used. Although the disease responds well to treatment, it can become life-threatening if not treated promptly.

Though certain patients with mild symptoms and signs suspected of having RMSF can be treated as outpatients with antibiotics and close follow-up, other patients with suspected RMSF will require admission to the hospital for close monitoring and further evaluation.

What is the prognosis of Rocky Mountain spotted fever?

If diagnosed early and treated promptly, RMSF has a very good prognosis. Most patients will fully recover without any long-term disabilities. However, a delay in diagnosis and treatment is contributory to the higher rates of complications and mortality seen with RMSF. In the United States, the mortality rate for RMSF is currently less than 1%. In the preantibiotic era, the mortality rate was around 30%.

Medically Reviewed by a Doctor on 10/28/2016

Source: MedicineNet.com
http://www.medicinenet.com/rocky_mountain_spotted_fever_rmsf/article.htm

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