Rocky Mountain Spotted Fever
The first symptoms of RMSF often occur within 2 to 14 days after a tick bite. Symptoms may include:
- Rash—begins as small, flat pink spots on wrists and ankles
- Nausea and vomiting
- Abdominal pain
- Muscle or joint pain
- Lack of appetite
- Red eyes
- Light hurting the eyes
- Altered mental status
- Severe bleeding
- Difficulty breathing
If left untreated, RMSF can cause severe problems. Other symptoms will depend on which organs are involved.
See your doctor if you have a fever after:
- Tick bite
- Being in an area likely to have ticks
|Immune System Including Spleen and Lymph Nodes|
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You will be asked about your symptoms and health history. A physical exam will be done. RMSF can be hard to diagnose. There are many conditions that cause similar symptoms. You may also be unaware of a tick bite. The rash may not be present yet.
The doctor may suspect RMSF based on your symptoms. A blood test may be done. They will help to find more signs of this infection.
A spinal tap may be done to look for infection around the brain.
Tick bites can cause a number of infections. If you are in an area that may have ticks:
- Wear light-colored clothing. You will be better able to see ticks.
- Tuck pant legs inside socks. This will stop ticks from crawling up under your pants.
Use insect repellents with DEET. Apply to exposed skin. Permethrin can be put on clothing.
- DEET should be avoided or used sparingly for small children. Follow the directions on the label.
- Carefully check your entire body for ticks after returning from outdoor areas.
- Treat your pets for ticks. Check pets for ticks after being outdoors.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
Edits to original content made by Denver Health.
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Centers for Disease Control and Prevention https://www.cdc.gov
Family Doctor—American Academy of Family Physicians https://www.familydoctor.org
Public Health Agency of Canada https://www.canada.ca
The College of Family Physicians of Canada http://www.cfpc.ca
Rocky Mountain spotted fever. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T116078/Rocky-Mountain-spotted-fever . Updated June 4, 2015. Accessed February 15, 2018.
Rocky Mountain spotted fever (RMSF). Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/rmsf/symptoms/index.html. Updated December 9, 2016. Accessed February 15, 2018.