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A member asked:
Friend:58, healthy, not immune compromised-4 d h/o pm fever, chills, sweats, myalgia, fatigue;works in nj wetlands. no rash. start empiric doxycycline?
A doctor has provided 1 answer
Zoonoses?: Looks like you're concerned patient may have zoonoses. Tick born ds' in nj can be lyme, anaplasma, erlichia, babesia or even rocky mt spotted fever. Certainly this presentation could be anything from bacterial, viral, parasitic or fungal infection. Would do basic fever w/u (good pe; cultures blood, urine; ua; cbc; liver panel; cxr; esr/crp); check thick/thin blood smear. Treat based on findings.
Answered 10/5/2017
4.9k views
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