Treatment RMSF
Doxycycline 100 mg po or iv bid 5 to 7 days
Notes:
a.Because the clinical picture of a patient with Rocky Mountain spotted fever can be variable, and the disease can be fulminant, empiric therapy is essential.
b. The recommended treatment regimen is 100 mg oral or intravenous doxycycline twice daily for five to seven days.
c.The clinical response to treatment can be dramatic and supports the diagnosis of Rocky Mountain spotted fever before results of serologic testing are available.
Prognosis.
a. Early initiation of antibiotic therapy usually results in prompt clinical remission.
b. Diagnostic or therapeutic delays substantially increase morbidity and mortality.