Rocky Mountain Spotted Fever (cont.)
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Rocky Mountain Spotted Fever Treatment
Treatment with antibiotics should begin as soon as RMSF is suspected; the clinical picture described above is enough to justify immediate treatment. Doxycycline (Vibramycin) is the antibiotic recommended by most investigators and the CDC to treat RMSF in both adults and children. Dosage depends on the weight and age of the patient; chloramphenicol is recommended for pregnant females to reduce the chance of tooth and bone malformations in the fetus. Antibiotics are usually given for about five to 10 days or until the fever has been gone for at least three days. Treatment within the first five days results in fever resolution in about 24-72 hours. Severe cases may need additional treatment in an intensive-care unit (ICU) of a hospital for ventilation, blood pressure support, and other life-saving treatments. Other antibiotics (tetracycline and Achromycin, for example) are not the first choice for treatment; doxycycline is the antibiotic of choice.
Medically Reviewed by a Doctor on 5/23/2014
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