S5 Ep103: Tick-Talk: A Deet-ailed Look at Tick-Borne Illnesses.
Feb 14, 2024
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Dr. Buddy Creech, an expert in tick-borne illnesses, discusses the signs and symptoms of these illnesses, the importance of geographic variation, the drug of choice for treatment, and lab abnormalities in Ehrlichiosis.
Recognize the cardinal signs of tick-borne illnesses, including fever, headache, photophobia, lymphopenia, hyponatremia, and thrombocytopenia.
Consider geographic variation and specific tick-borne diseases prevalent in different regions.
Deep dives
Identifying Tick-Borne Illnesses: Key Signs and Symptoms
Tick-borne illnesses, such as Lyme disease and RMSF, often present with fever, headache, and photophobia. Other common symptoms include lymphopenia, hyponatremia, and thrombocytopenia. Prompt diagnosis and treatment with doxycycline within the first four days is crucial to prevent severe morbidity and mortality. Geographic variation is important to consider, with Lyme disease more prevalent in the Northeast and upper Midwest, while rickettsial diseases are common in the Southeast and Midwest. Clinical suspicion is key, and laboratory confirmation is not necessary to initiate treatment.
Co-Infections and Prevention
Co-infections, such as babesiosis, can occur alongside tick-borne illnesses. However, they are less common and testing is generally reserved for patients not responding to typical therapy or with unique risk factors. Prevention is essential, and measures like using DEET or permethrin, wearing protective clothing, and thoroughly checking for ticks after outdoor activities can reduce the risk of tick bites. Proper tick removal technique is also important. Checking CDC and IDSA websites for updated guidelines and listening to the 'Let's Talk ID' podcast are valuable resources for healthcare professionals.
Takeaway Points
1. Recognize the cardinal signs of tick-borne illnesses, including fever, headache, photophobia, lymphopenia, hyponatremia, and thrombocytopenia.
2. Consider geographic variation and specific tick-borne diseases prevalent in different regions.
3. Prompt treatment with doxycycline within the first four days is crucial.
4. Lyme disease testing can be complex, and interpretation should be done in consultation with guidelines.
5. Co-infections, like babesiosis, may be considered in specific cases, but are less common.
6. Prevention through effective tick bite prevention measures is key to minimizing the risk of tick-borne illnesses.
Dr. Buddy Creech of Vanderbilt teaches us the core signs and symptoms of tick-borne illnesses, the importance of geographic variation in making a diagnosis, why doxycycline is the drug of choice for treatment, and not just what but also why we see lab abnormalities in Ehrlichiosis.
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