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February 10, 2012
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Rocky Mountain Spotted Fever

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Rocky Mountain Spotted Fever Overview

Rocky Mountain spotted fever (RMSF) is a disease caused by Rickettsia rickettsii (transmitted by ticks to humans) that has nonspecific symptoms of fever, chills, headache, and muscle aches with progression to a rash about five to 10 days after an initial bite by an infected tick. RMSF is the most common fatal tick-transmitted disease in the U.S. Worldwide, there are about 18 other closely related Rickettsia spp belonging to a group (spotted fever group) that cause a similar disease process known by many different names (for example, boutonneuse fever, African tick bite fever, Japanese spotted fever). RMSF was first diagnosed in 1896 in Idaho and was first named "black measles" but then was termed Rocky Mountain spotted fever. In 1906, Howard Ricketts showed that ticks were vectors (carriers) and in 1909 showed evidence that bacteria (later named after him) caused the disease. Ticks can act as vectors for many diseases (for example, Lyme disease, tularemia, Q fever) in addition to RMSF.

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Rocky Mountain Spotted Fever - Symptoms

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Rocky Mountain Spotted Fever

Abdominal Pain in Children Overview

Abdominal pain is one of the most common reasons for a parent to bring his or her child to medical attention. Evaluation of a "tummy ache" can challenge both parents and the physician.

Possible causes for a child's abdominal pain range from trivial to life-threatening, with little difference in the child's complaints. Fortunately, abdominal pain in a child usually improves quickly. Each parent or caregiver faces the difficulty deciding whether a complaint needs emergency care or not.

Abdominal Pain in Children Causes

  • Infections: Viruses or bacteria can cause abdominal pain, typically from stomach flu or gut flu (called gastroenteritis). Viral infections tend to go away quickly, while bacterial infections may need an antibiotic to get better.

  • Food-related: Food poisoning (which has symptoms like those of stomach/gut flu), food allergies...

Read the Abdominal Pain in Children article »


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