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southern tick-associated rash illness (STARI)
Etiology:
- pathogen unknown
Epidemiology:
- transmitted by Lone Star tick (same tick that transmits ehrlichiosis)
- southeastern, south central & mid-Atlantic United States
Clinical manifestations:
- erythema migrans
- fever
- headache
- myalgias
- clinically indistinguishable from Lyme disease
Differential diagnosis:
- Lyme disease
Management:
- treat as Lyme disease
- doxycycline, amoxicillin or cefuroxime
General
tick borne infection
References
- Medical Knowledge Self Assessment Program (MKSAP) 16, 17, 18, 19.
American College of Physicians, Philadelphia 2012, 2015, 2018, 2021.