Spotted Fever Rickettsia
Replies: 8 - Last Post: Mar 22, 2013 7:27 AM Last Post By: TRRK
Mar 15, 2013 5:36 AM
Spotted Fever RickettsiaI picked this up while in Asia in November/December and was diagnosed by a blood test last month - too late for antibitoics as I was more or less better. I didn't see my doctor after the diagnosis as he telephoned it through but I suspect they don't know much about it in the UK. Does anyone know if, like Malaria, you can get recurring bouts? I've googled it but it doesn't say. I'm feeling ill again, with the same symptoms it started with last time...
Mar 15, 2013 7:47 AM
1You are right that Spotted Fever is rarely seen in the UK. This is a guideline for healthcare workers. They only found a handful of cases in travelers from the UK.
I can't find any information that indicates that it can return--there is another kind of Rickettsia that can.
If by any chance you were taking doxycycline to prevent malaria--that is the standard treatment, so you were treated.
You know the answer anyway, I'll bet. It's time to see a doctor and get whatever it is properly diagnosed.
The plural of anecdote is not data.
Mar 15, 2013 8:24 AM
2Thanks nutrax - I just didn't want to see the doctor again - it took a little convincing in the first place to test me for malaria et al! Sadly, we hadn't taken anti malarials as we weren't originally going to any high risk areas, until we changed our plans and spent 5 days in Luang Prabang and journeyed up the Mekong to Thailand....
Thing is the first symptoms for it, like malaria, are flu like, so I could be worrying for nothing. My doctor was going to prescribe antibitoics so I wonder why he wasn't going to prescribe doxcycline....
Mar 15, 2013 8:31 AM
3Doxy is rarely used to treat malaria--it doesn't act fast enough. So if the doc was considering malaria as a diagnosis, doxy wouldn't have been prescribed.
On the other hand, you just might be showing symptoms of malaria, even at this late date. Not likely, but certainly possible.
The plural of anecdote is not data.
Mar 15, 2013 7:21 PM
4Normal incubation period for malaria is up to a month or so, but there have been cases several decades after last possible exposure. I once got quite ill with acute malaria three months after my own last exposure, so this variability is of more than passing interest.
Try to see a good tropical disease specialist--not a GP.
Mar 16, 2013 4:16 AM
Mar 19, 2013 3:31 PM
6Out of curiousity what were the main symptoms? Some of the description in the link given by #1 sounds like something I caught while in Thailand but wasn't diagnosed as anything specific despite blood tests for malaria and dengue. I am still curious about what it was though luckily it never came back.
Mar 20, 2013 2:10 AM
7I went to the dr because I knew that testing for malaria as early as possible was a good idea. I had flu like symptoms - high temperature, then chills, aches and pains but not like a cold (no runny nose) and an overall feeling of malaise.... but it was the second time in 6 weeks and I'm not normally a flu/cold person, so it was unusual. If you look at the link to the disease, you'll see one of the symptoms is often a rash and an infected bite - which I didn't have by then, but had had a lot of mozzie bites... but it's not mozzies, it's flea and tick bites...
I expect they are loads of tropical diseases one can pick up that are rarely identified. I was quite impressed that they bothered to test further than the obvious ones!
Oh, and I haven't yet been back to see my dr to see if it's recurring.....
Mar 22, 2013 7:27 AM
8Thanks for responding.
I had temperature and aches and pains as well as the rash but didn't notice any infected bites. I guess I'll always just have to wonder what it was that I had. The doctors at the Thai hospital I was treated at didn't seem to care too much what was causing it as long as the symptoms disappeared with treatment. The insurance company was reluctant to pay out without a diagnosis but they agreed in the end.
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