WesElyMD Profile picture
Husband & Dad. ICU Doc. Vanderbilt. @CIBScenter studies Covid & Long Covid, ICU Survivorship, PICS, Dementia, Delirium. Tweets my own. Still learning.

Aug 5, 2021, 5 tweets

1/🧵 You are a BAD #GOLFER & have a big day with buddies & are in the tall grass a LOT. Later, you take off a #tick👇and in 7 days develop a fever & headache. You have no rash. The emergency room gives you acetaminophen. Is that OK?
 
#medtwitter #Nurse

2/ Tick bites are a big deal in Summer months. Rocky Mountain Spotted Fever is a concern, and the absence of rash also brings up #Ehrlichiosis. This @NEJM paper showed that worse golfers retrieved balls from the rough & got the dz more often!
 
bit.ly/3e6vQrF

3/ Of those with #Ehrlichiosis, 20% get bad nervous system dz & 20% of those die. If you live in Southern US and find a Lone Star tick (pic above), and then develop fever & headache, get evaluated and probably start the antibiotic doxycycline quickly!
 
bit.ly/3e5ndxF

4/ Another complication of this dz can be a very complex problem called #HLH (spelling in article below). In addition to Doxy, then you’d also need steroids. We see this every year. Pancytopenia & super high ferritin levels. BOLO!
 
bit.ly/3hVwWrw

5/fin
Summer can be fun but be careful out there. Do not take #ticks lightly. If you get sick and don’t know why, time is of the essence. It might NOT be #COVID. Get checked out, please.

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