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Is it because people are traveling more often or to more remote locations or because exposure to ticks is becoming more common? Whatever the reason, diseases spread by tick bites are being reported more often than in the past. Some of these, such as Rocky Mountain spotted fever and ehrlichiosis, can have very severe, even fatal, consequences. Dr Middleton describes findings that suggest tick-borne disease and summarizes effective treatment and prevention methods.
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Donald B. Middleton
Donald B. Middleton, MD Dr Middleton (left) is director, family practice residency, St Margaret Memorial Hospital, Pittsburgh, and clinical associate professor, department of clinical epidemiology and family medicine, University of Pittsburgh School of Medicine.