It affects about 800 people a year in the US and usually occurs from April until October, but it can occur anytime during the year where weather is warm. The mid-Atlantic and southeastern states are most affected. However, each person may experience symptoms differently. Symptoms of RMSF may resemble other conditions or medical problems. Consult a physician for diagnosis.
Diagnosis is based on symptoms and past history of a tick bite.
The appearance and character of the rash is important. Skin samples and lab tests are usually done to rule out other conditions and confirm diagnosis. Visually check all other areas of the body and hair, and run fingers gently over skin. Run a fine-toothed comb through your child's hair to check for ticks. Shower after all outdoor activities are over for the day.