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City Philadelphia / / Company MPH / Nancy Maher / TREATMENT GUIDELINES ADDITIONAL RESOURCES / IgG / Nancy Shadick / New England Journal / / Continent North America / / Country United States / / Facility American College of Physicians/American Society / Women’s Hospital / Martha’s Vineyard Hospital / / IndustryTerm Prevention of Lyme Disease / infection site / travel history / / MedicalCondition Photophobia / Borrelia burgdorferi infection / certain autoimmune diseases / human granulocytic anaplasmosis/ehrlichiosis / Bell’s palsy / Lyme borreliosis / allergies / homogenous expanding rash / JE / babesiosis / Human Granulocytic Ehrlichiosis / arthritis / Peripheral enthesopathy / early disseminated disease / parasitemia / age severe illness / clinical disease / Zoonotic Diseases / severe babesiosis / Hyponatremia / tickborne rickettsial diseases / febrile illness / Severe headache / diarrhea / MAY BE PRESENT IN ALL FORMS OF TULAREMIA / aka human granulocytic ehrlichiosis / Microsopic hematuria / illness / neurologic deficits / Human Babesiosis / myalgia / regional lymphadenopathy EARLY DISSEMINATED STAGE / Coinfections involving Lyme disease / Lyme disease meningitis / abdominal pain / subtle encephalitis / Keratitis / Deer-Associated Zoonoses / proteinuria LATE DISSEMINATED STAGE / Arthralgia / regional lymphadenopathy / malaria / pediatric infectious disease / chills / Chronic / cranial nerve neuritis / infectious conditions / Chronic encephalomyelitis / Suspected Lyme Disease / fever / axonal polyradiculopathy / recurrent hepatitis / vomiting / intermittent fever / Human Granulocytic Anaplasmosis / Hemoglobinuria / pseudotumor cerebri / Ehrlichiosis / Primary Pneumonic Tularemia / lymphocytic pleocytosis / certain viral infections / infection / Localized lymphadenopathy / Depression / rash / varicella / infectious disease / human granulocytotropic anaplasmosis / Migratory pain / anaplasmosis / Spastic / erythema migrans / Abdominal pain ULCEROGLANDULAR / LIMITATIONS TO SEROLOGICAL TESTS FOR LYME DISEASE / FOR TREATMENT GUIDELINES ADDITIONAL RESOURCES FOR MORE INFORMATION ON TICKBORNE DISEASES / systemic lupus erythematosus / Pleuritic chest pain NOTE / Babesia microti infections / headache / thrombocytopenia / low hematocrit / leukopenia / Periostitis / nausea / thrombocytopenia / pulmonary compromise / mild illness / Conjunctivitis / fatigue / lymphadenopathy / migratory arthritis / acrodermatitis / Lyme disease / Myoglobinuria / sudden transient deafness NOTE / community-acquired pneumonia / acute disease / mental disorders / Tickborne Diseases / relative and absolute lymphopenia / Sore throat / Proteinuria / active and past infection / pneumonic tularemia / Petechiae / disease / Ulceroglandular tularemia / high-grade fever / tularemia / pain / mononeuritis multiplex / renal insufficiency / FOR TREATMENT GUIDELINESHuman Granulocytic Anaplasmosis / Clinical Infectious Diseases / Rocky Mountain Spotted Fever rash / Infectious Diseases / Early Lyme Borreliosis / pyuria DIAGNOSTIC LABORATORY CRITERIA / Cough / peripheral motor nerve paralysis / Meningitis / Babesia microti Parasitemia / human monocytotropic ehrlichiosis / anemia / Mild anemia / / MedicalTreatment Alternative therapies / antibiotic therapy / / NaturalFeature Nantucket Island / Rocky Mountain / / Organization Public Health office of Integrated Surveillance and Informatics Services / Infectious Diseases Committee / Massachusetts Department of Public Health / Massachusetts Department of Public Health Division of Epidemiology and Immunization / Women’s Hospital / Infectious Diseases Society of America / Martha’s Vineyard Hospital / Centers for Disease Control and Prevention / RBB Arthritis and Musculoskeletal Diseases Clinical Research Center / American College / Physicians/American Society of Internal Medicine / Council of State and Territorial Epidemiologists / Committee on Infectious Diseases / American Medical Association / American Academy of Pediatrics / below† REFERENCES American Academy of Pediatrics / / Person Dennis Hoak / / / Position infectious disease specialist / pediatric infectious disease specialist / physician / Walker / / Product Gentamicin / Cefuroxime axetil / erythromycin / Amoxicillin / Conjunctival injection / Doxycycline / clarithromycin / rifampin / azithromycin / Chloramphenicol / / ProvinceOrState Massachusetts / / PublishedMedium The American Journal / Journal of Clinical Microbiology / Annals of Internal Medicine / New England Journal of Medicine / Clinical Microbiology Reviews / Clinical Infectious Diseases / Journal of the American Medical Association / / Region New England / / Technology diagnostic tests / Contents Tick ID Summer Fever Algorithm / Massachusetts This algorithm / antibodies / two-tier testing protocol / / URL www.cdc.gov / http / SocialTag 
Tickborne Diseases in Massachusetts: a physician’s reference manual second edition