In a world filled with ticks and the diseases they carry—and diseases that have similar symptoms—being able to diagnose a disease quickly might be beneficial for treatment or for clues to how to control it. The classic feature of RMSF, the rash, appears days after the initial infection. The other symptoms can be confused with diseases such as typhus.
In 1916, the Weil-Felix reaction was developed to diagnose epidemic typhus. In 1928, LeRoy Kerlee and Dr. Roscoe Spencer did their own tests on guinea pigs, rabbits, and people at the Canyon Creek Schoolhouse laboratory. They reported that the Weil-Felix reaction could diagnose RMSF. The test became widely used to diagnose many Rickettsial diseases; although it has been replaced by newer diagnostic techniques such as indirect immunofluorescence, it can be useful in parts of the world without access to such technology.
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Overlooking Hamilton, Montana, where the Canyon Creek Schoolhouse laboratory was located. How many ticks were on those hills?
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Image: Office of NIH History and Stetten Museum, 1562-3