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</div><div><span>Colorado tick fever</span></div></div>
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<article><div id="d-article"><div class="page-info"><div class="page-title"><a name="start" id="start">
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</a><h1 class="with-also" itemprop="name">Colorado tick fever</h1>
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</noscript></div><div class="main"><div id="ency_summary"><p>Colorado tick fever (CTF) is a viral infection. It is spread by the bite of the Rocky Mountain wood tick (<em>Dermacentor andersoni</em>).</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>Causes</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>This disease is usually seen between March and September. Most cases occur in April, May, and June.</p><p>CTF is seen most often in the western United States and Canada at elevations higher than 4,000 feet (1,219 meters). The CTF virus is transmitted by a <a test="test" href="./002856.htm">tick bite</a> or, in very rare cases, by a blood transfusion.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Symptoms</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>Symptoms of CTF most often start 1 to 14 days after the tick bite. A sudden fever continues for 3 days, goes away, then comes back 1 to 3 days later for another few days. Other symptoms include:</p><ul><li>Feeling weak all over and muscle aches</li><li>Headache behind the eyes (typically during fever)</li><li>Lethargy (sleepiness) or confusion</li><li>Nausea and vomiting</li><li>Rash (may be light colored)</li><li>Sensitivity to light (<a test="test" href="./003041.htm">photophobia</a>)</li><li>Skin pain</li><li>Sweating</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Exams and Tests</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>The health care provider will examine you and ask about your signs and symptoms. If the provider suspects you have the disease, you will also be asked about your outdoor activity.</p><p>Blood tests will usually be ordered. Antibody tests can be done to confirm the infection. Other blood tests may include:</p><ul><li>Complete blood count (<a test="test" href="./003642.htm">CBC</a>)</li><li><a test="test" href="./003436.htm">Liver function tests</a></li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Treatment</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p>There are no specific treatments for this viral infection.</p><p>The provider will make sure the tick is fully removed from the skin. </p><p>You may be told to take a <a test="test" href="./002123.htm">pain reliever</a> if you need it. DO NOT give aspirin to a child who has the disease. Aspirin has been linked with <a test="test" href="./001565.htm">Reye syndrome</a> in children. It may also cause other problems in CTF.</p><p>If complications develop, treatment will be aimed at controlling the symptoms.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Outlook (Prognosis)</h2></div><div class="section-button"><button type="submit" aria-controls="section-5" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-5"><p>CTF usually goes away by itself and is not dangerous.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Possible Complications</h2></div><div class="section-button"><button type="submit" aria-controls="section-6" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-6"><p>Complications may include:</p><ul><li>Infection of the membranes covering the brain and spinal cord (<a test="test" href="./000680.htm">meningitis</a>)</li><li>Irritation and swelling of the brain (<a test="test" href="./001415.htm">encephalitis</a>)</li><li>Repeated bleeding episodes for no apparent cause</li></ul><p>Contact your provider if you or your child develops symptoms of this disease, if symptoms worsen or do not improve with treatment, or if new symptoms develop.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Prevention</h2></div><div class="section-button"><button type="submit" aria-controls="section-8" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-8"><p>When walking or hiking in tick-infested areas:</p><ul><li>Wear closed shoes</li><li>Wear long sleeves</li><li>Tuck long pants into socks to protect the legs</li></ul><p>Wear light-colored clothing, which shows ticks more easily than darker colors. This makes them <a test="test" href="./007211.htm">easier to remove</a>.</p><p>Check yourself and your pets frequently. If you find ticks, remove them right away by using tweezers, pulling carefully and steadily. Insect repellent may be helpful.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Mountain tick fever; Mountain fever; American mountain fever</p></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Images</h2></div><div class="section-button"><button type="submit" aria-controls="section-tnails" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/1254t.jpg" alt="Ticks" title="Ticks" class="side-img"/><a href="../imagepages/1254.htm">Ticks</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/2060t.jpg" alt="Tick imbedded in the skin" title="Tick imbedded in the skin" class="side-img"/><a href="../imagepages/2060.htm">Tick imbedded in the skin</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/9069t.jpg" alt="Antibodies" title="Antibodies" class="side-img"/><a href="../imagepages/9069.htm">Antibodies</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/1119t.jpg" alt="Deer ticks" title="Deer ticks" class="side-img"/><a href="../imagepages/1119.htm">Deer ticks</a></li>
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</ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>Bolgiano EB, Sexton J. Tickborne illnesses. In: Walls RM, ed. <em>Rosen's Emergency Medicine: Concepts and Clinical Practice</em>. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 123.</p><p>Dinulos JGH. Infestations and bites. In: Dinulos JGH, ed. <em>Habif's Clinical Dermatology</em>. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 15.</p><p>Naides SJ. Arboviruses causing fever and rash syndromes. In: Goldman L, Schafer AI, eds. <em>Goldman-Cecil Medicine</em>. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 358.</p></div></div></section>
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<section><div class="section"><div class="section-header"><div class="section-title"><h2>Review Date 12/4/2022</h2></div><div class="section-button"><button type="submit" aria-controls="section-version" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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