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Pediatr Emerg Med Pract. 2018 Sep;15(9):1-24. Epub 2018 Sep 1.

Tick-borne illnesses: identification and management in the emergency department

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Instructor, Department of Pediatrics, Section of Emergency Medicine, University of Colorado, Aurora, CO.
Clinical Assistant Professor, Ronald O. Perelman Department of Emergency Medicine, Clinical Site Chief, Pediatric Emergency Medicine, Bellevue Hospital Center, New York, NY.


Tick-borne illnesses are increasing in prevalence and geographic reach. Because the presentation of these illnesses is sometimes nonspecific, they can often be misdiagnosed, especially in the early stages of illness. A detailed history with questions involving recent activities and travel and a thorough physical examination will help narrow the diagnosis. While some illnesses can be diagnosed on clinical findings alone, others require confirmatory testing, which may take days to weeks to result. This issue reviews the emergency department presentation of 9 common tick-borne illnesses and evidence-based recommendations for identification, testing, and treatment.

[Indexed for MEDLINE]

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