If a person has more severe symptoms, like a high fever or serious headache, the infection can be treated with doxycycline for a longer amount of time.[7] Pregnant women should not use doxycycline or ciprofloxacin as both antibiotics can cause problems in fetuses.[19] Josamycin has been used effectively for treatment of pregnant women with other rickettsial diseases, but it is unclear if it has a role in the treatment of ATBF.[7]