Tick Typhus (African)

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Case definition: a rickettsial disease (spread usually by tick bites) that has a variable onset but most often marked by sudden headache, chills, prostration, fever and general pains. A maculopapular eruption appears on the 5^th - 7th day, initially on the upper trunk followed by a spread to the entire body but usually not to the face, palms or soles. Chancre, local erythema develops on bite site with local lymphadenopathy.

Medicine	Adult Dose	Frequency	Duration
Doxycycline po	200mg first dose, then 100mg	once daily	7 days

If no improvement - refer