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  1. Published May 26, 1988. N Engl J Med 1988;318: 1345 - 1348. DOI: 10.1056/NEJM198805263182101. VOL. 318 NO. 21. Abstract. In the spring and summer of 1987, four persons acquired Rocky Mountain...

    • Miklos P. Salgo, Edward E. Telzak, Brian Currie, David C. Perlman, Nathan Litman, Michael Levi, Gera...
    • 1988
    • What Is Rocky Mountain Spotted Fever?
    • Who Gets RMSF?
    • How Is RMSF Spread?
    • What Are The Signs and Symptoms of RMSF and When Do They appear?
    • How Is RMSF Diagnosed?
    • What Is The Treatment For RMSF?
    • What Can Be Done to Prevent RMSF?
    • How Should A Tick Be removed?

    Rocky Mountain spotted fever (RMSF) is a disease caused by the bite of a tick infected with the bacterium Rickettsia rickettsii. In New York, the American dog tick (Dermacentar variablis) is the most common tick that spreads the disease. Fewer than 50 cases are reported annually in New York State. RMSF is a serious illness that can be fatal in the ...

    People of any age can get RMSF. In the eastern United States, children are infected most frequently, while in the western United States, adult males are more likely to become infected. Disease occurrence is directly related to exposure to tick-infested habitats or to infested pets.

    RMSF is spread by the bite of an infected tick. In New York, the American dog tick (Dermacentar variablis) is the most common carrier. Person-to-person spread of RMSF does not occur.

    RMSF frequently begins with a sudden onset of moderate to high fever (which can last for 2 or 3 weeks), headache, abdominal pain, vomiting, and muscle pain. A rash may also develop, but is often absent in the first few days, and in some patients never develops. The rash is often present on the palms of the hands and soles of the feet and rapidly sp...

    Symptoms and possible tick bite exposure may cause a health care provider to suspect RMSF. Laboratory testing can later confirm the diagnosis.

    A specific antibiotic called doxycycline is the first line of treatment for adults and children of all ages and should be started immediately when RMSF is suspected. It is most effective when this treatment is started within 5 days of when symptoms start. Since starting treatment early is crucial for survival of this disease, when RMSF is suspected...

    Generally, ticks cannot jump or fly onto a person. They wait in vegetation and cling to animals and humans when they brush by. Domestic animals can carry ticks into areas where you live such as your house or garage, so brush off animals and look for ticks before they enter these areas. The best prevention is through awareness. Check after every two...

    Grasp the mouthparts with tweezers as close as possible to the attachment (skin) site. Be careful not to squeeze, crush or puncture the body of the tick, which may contain infectious fluids. Pull firmly and steadily upward to remove the tick. After removing the tick, thoroughly disinfect the bite site and wash hands. The NYSDOH has created a video ...

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  3. Rocky Mountain spotted fever in New York City. Nationally, the disease is reportedly most common in children under 10 years of age, but in NYC the majority of patients are middle-aged. The number of cases reported in NYC has ranged from 2 to 27 per year.

  4. Of the 66 specimens of D. variabilis collected, 5 (8 percent) were positive for rickettsiae from the spotted fever group. Of an additional 96 specimens of D. variabilis, 5 (5 percent) were found positive for rickettsiae by a more specific monoclonal antibody assay. Eight additional New York City parks in all five boroughs were searched for ticks.

  5. A focus of Rocky Mountain spotted fever within New York City. N Engl J Med . 1988; 318 :1345–8. 10.1056/NEJM198805263182101 [ PubMed ] [ CrossRef ] [ Google Scholar ] 24.

    • Oscar E Zazueta, Paige A Armstrong, Adriana Márquez-Elguea, Néstor Saúl Hernández Milán, Amy E Peter...
    • 10.3201/eid2706.191662
    • 2021
    • Emerg Infect Dis. 2021 Jun; 27(6): 1567-1576.
  6. Dec 1, 1971 · Historically, Long Island has experienced three waves of tick population expansions and associated increases in tick-borne infections. First, in the 1930s through 1970s, the expansion of Dermacentor variabilis (American dog tick) contributed to the increased number of infections with Rickettsia rickettsii, a causative microorganism for Rocky Mountain spotted fever in Long Island (Anastos, 1947 ...

  7. Jul 8, 2014 · Rocky Mountain spotted fever is a tickborne disease first recognized in 1896 in the Snake River Valley of Idaho. It was originally called “black measles” because of the look of its rash in the late stages of the illness, when the skin turns black. It was a dreaded, often fatal disease, affecting hundreds of people in Idaho.

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