TY - CHAP M1 - Book, Section TI - Tickborne Disease A1 - Das, Niladri A2 - South-Paul, Jeannette E. A2 - Matheny, Samuel C. A2 - Lewis, Evelyn L. Y1 - 2015 N1 - T2 - CURRENT Diagnosis & Treatment: Family Medicine, 4e 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 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 Education CY - New York, NY Y2 - 2024/04/18 UR - accessmedicine.mhmedical.com/content.aspx?aid=1106852653 ER -