Tick-bite fever - Altmeyers Encyclopedia

Synonym(s)

spotted fever

Antibiosis with doxycycline (e.g. supracycline): 1st day 200 mg/day p.o., further with 100 mg/day p.o. for 14 days.
Alternatively: Ofloxacin (Tavanic): Adults: 2 times/day 100 mg to a maximum of 200 mg/day, children: 7.5 mg/kg bw/day p.o. distributed on 2 ED or 5 mg/kg bw/day i.v. distributed on 2 ED.
Alternatively: Ciprofloxacin (Ciprobay): 2 times/day 125-500 mg p.o. or 2 times/day 100-400 mg i.v., (3 times 200 mg/day i.v.) over 16 days, children: 10 mg/kg bw/day i.v., distributed on 2 ED or 15 mg/kg bw p.o., distributed on 2 ED.

Prophylaxis: Active immunization - vaccine available! Application of repellents (e.g. Icaridin, Zanzarin).

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McGinley-Smith DE et al (2003) Dermatoses from ticks. J Am Acad Dermatol 49: 363-392
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Watt G et al (2003) Scrub typhoid and tropical rickettsioses. Curr Opin Infect Dis 16: 429-436