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HERE IS THE STINGER--Come to find out, I was re-diagnosed with RMSF this past week after having symptoms repeat in December--fevers, headache, a couple red spots on my arm, fatigue--and back on treatment again. I have no idea how it is possible or even that it was possible if you have an immune system breakdown, etc. While I never saw a tick in the first place, I assume I got it from working in my yard in Fall 2007, but I doubt I got one again to make it reoccur.
They ruled me out for Lyme, which I hear is something that is chronic. This RMSF is definitely a mystery and the fact I cannot pinpoint what is happening to my body as a result is something i worry about.
That being said, I advise you to monitor yourself over the next year, and get tested periodically after being treated, esp if you undergo any great amount of stress or breakdown of immune system.