
The Cribsiders S5 Ep103: Tick-Talk: A Deet-ailed Look at Tick-Borne Illnesses.
Feb 14, 2024
Dr. Buddy Creech, an expert in tick-borne illnesses, discusses the signs and symptoms of these illnesses, the importance of geographic variation, the drug of choice for treatment, and lab abnormalities in Ehrlichiosis.
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Most Tick Bites Are Unnoticed
- Most tick bites go unnoticed as ticks feed and detach without detection.
- Don't rely on known tick bites to suspect tick-borne illness clinically.
Prophylaxis for Tick Bites
- For tick bite prophylaxis, consider five criteria: location, time (<72h), tick engorgement, tick species, and doxycycline safety.
- Use a single dose doxycycline in high-risk exposures in endemic Lyme areas.
Complex Lyme Disease Testing
- Lyme disease diagnostic testing is complex, relying on two-tier testing with ELISA and Western blot.
- Interpretation requires knowing lab methods and guidelines to avoid misdiagnosis.

