TY - CHAP M1 - Book, Section TI - Tickborne Disease A1 - Das, Niladri A2 - South-Paul, Jeannette E. A2 - Matheny, Samuel C. A2 - Lewis, Evelyn L. PY - 2020 T2 - CURRENT Diagnosis & Treatment: Family Medicine, 5e AB - ESSENTIALS OF DIAGNOSISTick bites are typically painless, and <50% of patients with tickborne disease present with a known bite.Consider tickborne diseases (TBDs) in the summer months for patients who present with fever, myalgias, and headaches but without gastrointestinal (GI) or upper respiratory symptoms who live in tick-endemic regions of the United States.Diagnosis can be difficult because of nonspecific symptoms and difficulty in timely confirmatory testing.Treatment with doxycycline should be initiated when Rocky Mountain spotted fever, human granulocytic anaplasmosis, and/or ehrlichiosis is included in the differential diagnosis. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/04/18 UR - accessmedicine.mhmedical.com/content.aspx?aid=1173718322 ER -