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Tick-borne pulmonary disease: update on diagnosis and management Faul JL; Doyle RL; Kao PN; Ruoss SJChest 1999[Jul]; 116 (1): 222-30Ticks are capable of transmitting viruses, bacteria, protozoa, and rickettsiae to man. Several of these tick-borne pathogens can lead to pulmonary disease. Characteristic clinical features, such as erythema migrans in Lyme disease, or spotted rash in a spotted fever group disease, may serve as important diagnostic clues. Successful management of tick-borne diseases depends on a high index of suspicion and recognition of their clinical features. Patients at risk for tick bites may be coinfected with two or more tick-borne pathogens. A Lyme vaccine has recently become available for use in the United States. Disease prevention depends on the avoidance of tick bites. When patients present with respiratory symptoms and a history of a recent tick bite or a characteristic skin rash, a differential diagnosis of a tick-borne pulmonary disease should be considered. Early diagnosis and appropriate antibiotic therapy for these disorders lead to greatly improved outcomes.|*Arachnid Vectors[MESH]|*Tick-Borne Diseases/diagnosis/drug therapy[MESH]|*Ticks[MESH]|Animals[MESH]|Humans[MESH]|Lung Diseases/diagnosis/drug therapy/*etiology[MESH] |