Overview Incidence Risk Factors Symptoms Evaluation Treatment specialist Home Care pain and fever adults pain and fever children warning signs Prevention tick removal Complications Underlying Cause Transmission
- Joint swelling
- Muscle tenderness
- Pink rash begins on the wrists and ankles, and then spreads to the trunk
- The rash becomes a deep red or dusky color and becomes slightly raised
- Stiff neck
Tests are necessary to make the diagnosis of Rocky Mountain spotted fever.
Tests that may be used to evaluate Rocky Mountain spotted fever include:
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PubMed RMSF References
- Bratton RL, Corey R. Tick-borne disease. Am Fam Physician. 2005 Jun 15;71(12):2323-30. 
- Cale DF, McCarthy MW. Treatment of Rocky Mountain spotted fever in children. Ann Pharmacother. 1997 Apr;31(4):492-4. 
- Chapman AS, Bakken JS, Folk SM, et al. Tickborne Rickettsial Diseases Working Group; CDC. Diagnosis and management of tickborne rickettsial diseases: Rocky Mountain spotted fever, ehrlichioses, and anaplasmosis--United States: a practical guide for physicians and other health-care and public health professionals. MMWR Recomm Rep. 2006 Mar 31;55(RR-4):1-27. 
- Purvis JJ, Edwards MS. Doxycycline use for rickettsial disease in pediatric patients. Pediatr Infect Dis J. 2000 Sep;19(9):871-4. 
- Sexton DJ, Kaye KS. Rocky Mountain spotted fever: a clinician's dilemma. Arch Intern Med. 2003 Apr 14;163(7):769-74. 
- Treadwell TA, Holman RC, Clarke MJ, Krebs JW, Paddock CD, Childs JE. Rocky Mountain spotted fever in the United States, 1993-1996. Am J Trop Med Hyg. 2000 Jul-Aug;63(1-2):21-6.