A member asked:

Tested for rmsf 1:256 with igm .98. this for sure rmsf? took doxy 100 for 20 days but still no energy and spots have doubled with headache laying down

A doctor has provided 1 answer

RMSF: This is a difficult infection to diagnose.The elevated titer is consistent with the disease. A skin biopsy may also be diagnostic of RMSF. An infectious disease specialist should be involved. Fatigue is expected after prolonged infection. ?whether mri of brain should be done in view of headaches but would be guided by consultants.

Answered 8/16/2018

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