Tick Typhus - Rocky Mountain Spotted Fever
Tick typhus is also known as Rocky Mountain spotted fever or
spotted fever or tick fever.
Tick typhus an acute febrile disease caused by Rickettsia
rickettsii transmitted by hard-shelled
(ixodid) ticks. This disease initially recognized in the Rocky Mountain States.
Epidemiological Triad

Agent- The causative agent
of Tick typhus is bacteria Rickettsia rickettsii.
Host - Affect all age groups,
high risk at whom traveling
Environment - Rainfall
Mode of Transmission
Bite of an infected tick, this disease most commonly reported rickettsial
infection acquired during travel.
Incubation Period
The incubation period ranges from 1-15 days. Signs
and symptoms of Rocky Mountain spotted fever (RMSF) begin 3-12
days after the bite of an infected tick.
Lab Diagnosis
1. Blood test
2. PCR test
3. Weil-Felix test
4. Serology tests - indirect
fluorescent antibody (IFA) test or enzyme-linked immunosorbent assay (ELISA).
Clinical Manifestation
Symptoms of Tick typhus
include-
1. High fever, chills
2. Headache
3. Muscle pain
4. Rash
5. Vasculitis
6. Swollen lymph
7. Eschar, and rash
Complications of Tick Typhus
1. Purpura fulminans - skin necrosis and disseminated intravascular
coagulation (DIC).
Treatment of Tick typhus
Tick typhus infection treated with medicine oral doxycycline.
If allergy or
contraindications to doxycycline exist, oral azithromycin may be used.
Prevention and Control
1. Treat tick typhus with antibiotics such as; Doxycycline
2. Try to avoid tick bites
3. Use insect repellents
4. Early diagnosis and Treatment - Early recognition of RMSF
and prompt treatment with antibiotic is important.
Q fever is rickettsial disease caused by bacillus
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acquire q fever infection.
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