Afternoon Fever and Aches: Could It Be Tick‑Borne Illness?
Recurrent afternoon fever with muscle/joint aches raises suspicion for tick‑borne diseases.
Tick‑Borne Considerations
- Lyme disease: Fever, chills, migrating joint pain, fatigue; rash (EM) in 70–80%.
- Rocky Mountain spotted fever: Fever, headache, rash starting wrists/ankles.
- Ehrlichiosis/Anaplasmosis: Fever, myalgia, headache, leukopenia.
- Babesiosis: Fever, chills, hemolytic anemia.
Other Causes
- Viral infections (influenza, mono)
- Autoimmune (RA, lupus, fibromyalgia)
- Chronic fatigue syndrome
- Malignancy
Next Step
See a physician for targeted testing (serology, PCR) based on exposure history and exam findings.
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