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Tickborne rickettsial diseases in humans often share similar clinical features yet are epidemiologically and etiologically distinct. In the United States, these diseases include 1 Rocky Mountain spotted fever RMSF caused by Rickettsia rickettsii; 2 other spotted fever group SFG rickettsioses, caused by Rickettsia parkeri and Rickettsia species 364 D; 3 Ehrlichia chaffeensis ehrlichiosis, also called human monocytic ehrlichiosis; 4 other ehrlichioses, caused by Ehrlichia ewingii and Ehrlichia muris-like EML agent; and 5 anaplasmosis, caused by Anaplasma phagocytophilum 2, also called human granulocytic anaplasmosis.
Rickettsial pathogens transmitted by arthropods other than ticks, including fleas Rickettsia typhi, lice Rickettsia prowazekii, and mites Rickettsia akari are not included in this report.