Appropriate antibiotic treatment should be started immediately when there is a suspicion of<unk> . Treatment should not be delayed for laboratory confirmation of disease as early initiation of treatment of<unk>  is associated with lower mortality. Failure to respond to a tetracycline argues against a diagnosis of<unk> . Severely ill people may require longer periods before their fever resolves, especially if they have experienced damage to multiple organ systems. Preventive therapy in healthy people who have had recent tick bites is not recommended and may only delay the onset of disease. Doxycycline (a tetracycline) is the drug of choice for patients with<unk> . According to the CDC, “Doctors often avoid prescribing doxycycline to young children because of a warning that tooth staining may occur when used in children less than 8 years old. ..Misperceptions about the use of doxycycline for children prevent kids from getting lifesaving treatment” of rickettsial diseases. “Delay in treatment of rickettsial diseases may lead to severe illness or death. Children are five times more likely than adults to die from<unk> .” A 2013 study shows that “short courses of…doxycycline can be used in children without causing tooth staining or weakening of tooth enamel.” The CDC observed that “clearer language on the drug label may help avoid hesitation in prescribing life-saving doxycycline to children.” Treatment typically consists of 100 milligrams every 12 hours, or for children under at 4 mg/kg of body weight per day in two divided doses. Treatment should be continued for at least three days after the fever subsides, and until there is unequivocal evidence of clinical improvement. This will be generally for a minimum time of five to ten days. Severe or complicated outbreaks may require longer treatment courses. Chloramphenicol is an alternative drug that can be used to treat<unk> , specifically in pregnancy. However, this drug may be associated with a wide range of side effects, and careful monitoring of blood levels is required.
Rocky Mountain spotted fever
Zika fever
Flinders Island spotted fever
American tick bite fever
Trench fever
Chikungunya
Japanese spotted fever
Dengue fever