Rickettsia belongs to the Rickettsiaceae family. These are parasites of arthropods like mites, fleas, ticks, and lice and are transmitted to humans through arthropod carriers. These cause typhus fevers in humans like rocky mountain spotted fever, rickettsialpox, boutonneuse fever, murine typhus, scrub typhus, etc. Symptoms vary with each type of disease, but common symptoms remain fever, headache, fatigue, rash, and unwell feeling. Doxycycline is the drug of choice. Rehydration is necessary to correct electrolyte imbalances.
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My brother suffers from chronic fever. Why?
Query: Hi doctor, My brother is suffering from fever for more than 45 days. All the tests and scans are done. Bone marrow and hepatitis report came as negative. AB culture and TB culture report are yet to come. There was a bacteria, Weil-Felix rickettsia came as positive. His WBC count is 22000 cells per m... Read Full »
Answer: Hi, Welcome to icliniq.com. There is no doubt that he is suffering from severe infection. It could be due to rickettsia or tuberculosis. Doxycyline is the first line drug to treat rickettsial infection and fever should have subsided within 48 to 72 hours after starting therapy. But, it did not show... Read Full »
What causes fever and vomiting in my 8-year-old son?
Query: Hi doctor, This is regarding the treatment given to my son for viral fever. He is 8 years 3 months old. When we observed my son's fever, I gave him one teaspoon of P250 for three days. On the fourth day, I visited hospital due to continuous fever. As the blood report confirmed it as viral fever, he ... Read Full »
Answer: Hi,Welcome to icliniq.com.I went through your child's history as you have provided and also saw the blood test reports (attachment removed to protect patient identity).According to the details provided, your child's illness fits into a viral illness spectrum. I believe you are concerned about fallin... Read Full »
Why do I have fever, body pain, and rashes on the face?
Query: Hi doctor, I am a 57 year old male. I was down with fever since yesterday. My fever is ranging between 101 to 103 degrees Fahrenheit. Along with fever, I have body ache and some rashes on my face. Yesterday, my platelet count was 1 lakh. Today, in CBC the platelets 1.25 lakhs, RBC 4.47 and lymphocyt... Read Full »
Answer: Hi, Welcome to icliniq.com. I have reviewed your health concern and understand the presence of rash accompanied by high fever. It is advisable to consult a physician at the earliest to determine the underlying cause of your symptoms. There are various potential causes for fever with rash and low pl... Read Full »
My 4-year-old son got bitten by a tick two months ago. Did it transmit Lyme disease and rickettsia?
Query: Hi doctor, My son is 4 years old and was bitten by a tick a couple of months ago. He was interpreted with a rickettsia, which is a high-grade fever rash. He was asked to take a Josamycin antibiotic for two weeks. Then he was fine for a few weeks. However, today he has had a high-grade fever for the ... Read Full »
Answer: Hi,Welcome to icliniq.com.Please do an IgG (immunoglobulin G) western blot test to confirm Lyme disease. The knee pain and fever may be a late manifestation of Lyme disease. Further management will depend on the reports. As of now, I suggest you can give (consult with a specialist doctor, talk with ... Read Full »
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