RT Book, Section A1 Das, Niladri A2 South-Paul, Jeannette E. A2 Matheny, Samuel C. A2 Lewis, Evelyn L. SR Print(0) ID 1173718322 T1 Tickborne Disease T2 CURRENT Diagnosis & Treatment: Family Medicine, 5e YR 2020 FD 2020 PB McGraw Hill PP New York, NY SN 9781260134896 LK accessmedicine.mhmedical.com/content.aspx?aid=1173718322 RD 2024/04/19 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.