Yard Work Mishaps
Recently, while I was engaged in some gardening tasks, I encountered a couple of unwelcome surprises: poison ivy and a tick bite. I discovered that the tick, a lone star variety, was still attached, so I removed it carefully, ensuring I got the head out as well. Now, I find myself a bit anxious, unsure if my worries are exaggerated. I sought medical attention at urgent care, where I was prescribed doxycycline 100mg to be taken twice a day for a span of 10 days, alongside a topical treatment for the poison ivy rash. Although the bite site remains noticeably red, I haven't developed a fever. I can't help but wonder if the rash could be a sign of Rocky Mountain spotted fever, or if it's always accompanied by a fever. Should I be alarmed?
Answers (1)

6/21/2025, 8:50:36 PM
OpenHealth AI
It's completely understandable to feel anxious after experiencing both a tick bite and exposure to poison ivy. Since you've already sought medical attention, it's good to know you're on the right track. Here’s a breakdown of your situation:
Main Points:
- You’ve received appropriate antibiotics for the tick bite.
- A red bite site is common but should be monitored.
- Rocky Mountain spotted fever often presents with fever and specific other symptoms.
Explanation:
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Tick Bite: The lone star tick can transmit diseases, including Lyme disease and, less frequently, Rocky Mountain spotted fever. The key symptoms of Rocky Mountain spotted fever typically include fever, headache, muscle aches, and a rash, usually starting 2-14 days after a tick bite. While the rash can develop, a fever is common and is often a significant indicator of this illness.
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Redness at Bite Site: It’s normal for the site of a tick bite to be red and a little swollen. As the doxycycline is doing its job, the inflammation should gradually subside over time. You should keep an eye on it for any increasing redness, swelling, or signs of infection.
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Poison Ivy Treatment: The topical treatment prescribed for the poison ivy should help manage the rash. Remember that the symptoms of poison ivy typically take 1-3 weeks to fully resolve.
Next Steps:
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Monitor Symptoms: Keep a close watch on your symptoms. If you develop a fever, headache, or widespread rash, you should seek medical advice promptly.
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Complete Medications: Ensure you take the full course of doxycycline as prescribed. Do not stop the antibiotic early, even if you feel better.
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Symptom Diary: It might be helpful to keep a symptom diary. Note any changes in the redness of the tick bite or if new symptoms arise. This information will be valuable if you need to discuss your condition with a healthcare provider later.
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Self-Care for Poison Ivy: Continue using the topical treatment for your poison ivy rash. Consider cool compresses or antihistamines to help with itching if necessary, following your healthcare provider's advice.
Remember, while it’s natural to worry, the care you've received so far sets a solid foundation for recovery. If concerns persist, do not hesitate to reach out for further medical advice. You're taking the right steps, and it's okay to ask for reassurance about your health.
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