dammini), I. pacificus, I. ricinus (Europe), I. persulcatus (Asia))
Endemic to: The Americas and Eurasia
Symptoms: Fever, arthritis, neuroborreliosis, erythema migrans, cranial nerve palsy, carditis, fatigue, and influenza-like illness
Treatment: Antibiotics - amoxicillin in pregnant adults and children), (doxycycline in other adults
Relapsing fever (tick-borne relapsing fever, different from Lyme disease due to different Borrelia species and ticks)
Organisms: Borrelia species such as B. hermsii, B. parkeri, B. duttoni, B.  miyamotoi
Vector: Ornithodoros species
Regions : Primarily in Africa, Spain, Saudi Arabia, Asia in and certain areas of Canada and the western United States
Symptoms: Relapsing fever typically presents as recurring high fevers, flu-like symptoms, headaches, and muscular pain, with less common symptoms including rigors, joint pain, altered mentation, cough, sore throat, painful urination, and rash
Treatment: Antibiotics are the treatment for relapsing fever, with doxycycline, tetracycline, or erythromycin being the treatment of choice. Typhus Several diseases caused by Rickettsia bacteria (below)
Rocky Mountain spotted fever
Organism: Rickettsia rickettsii
Vector:  Wood tick (Dermacentor variabilis), D. andersoni
Region (US): East, Southwest
Vector: Amblyomma cajennense
Region (Brazil): São Paulo, Rio de Janeiro, Minas Gerais. Symptoms:Fever, headache, altered mental status, myalgia, and rash
Treatment: Antibiotic therapy, typically consisting of doxycycline or tetracycline
Helvetica spotted fever
Organism: Rickettsia helvetica
Region(R. helvetica): Confirmed common in ticks in Sweden, Switzerland, France, and Laos
Vector/region(s)#1: Ixodes ricinus is the main European vector. Symptoms: Most often small red spots, other symptoms are fever, muscle pain, headache and respiratory problems
Treatment: Broad-spectrum antibiotic therapy is needed, phenoxymethylpenicillin likely is sufficient.
spinipalpusm, Dermacentor andersoni, and D. variabilis
Endemic to: North America and eastern Russia
Colorado tick fever
Organism: Colorado tick fever virus (CTF), a coltivirus from the Reoviridae
Vector: Dermacentor andersoni
Region: US (West)
Crimean-Congo hemorrhagic fever
Organism: CCHF virus, a nairovirus, from the Bunyaviridae
Vector: Hyalomma marginatum, Rhipicephalus bursa
Region: Southern part of Asia, Northern Africa, Southern Europe
Severe febrile illnessOrganism: Heartland virus, a phlebovirus, from the Bunyaviridae
Vector: Lone star tick (Amblyomma americanum)
Region: Missouri and Tennessee, United States
Severe febrile illness, headaches, coma in 1/3 patientsOrganism: tentatively Alongshan virus, jingmenvirus group in the flavivirus family
Vector: tick (likely Ixodes persulcatus, Ixodes ricinus), mosquitoes
Region: Inner Mongolia but potentially more widespread

Protozoan
Babesiosis
Organism: Babesia microti, Theileria equi
Vector: Ixodes scapularis (deer tick), I. pacificus (western black-legged tick)
Region (US): Northeast, West Coast
Cytauxzoonosis
Organism: Cytauxzoon felis
Vector: Amblyomma americanum (Lone star tick)
Region (US): South, Southeast

Toxin
Tick paralysis
Cause: Toxin
Vector (US): Dermacentor andersoni (Rocky Mountain wood tick), D. variabilis (American dog tick or wood tick)
Region (US): D. andersoni: East, D. variabilis: East, West coast
Vector (Australia): Ixodes holocyclus (Australian paralysis tick)
Region (Australia): East

Allergies
Alpha-gal allergy - Alpha-gal syndrome is likely caused by a hypersensitivity reaction to the Alpha-gal (Galactose-alpha-1,3-galactose) sugar molecule introduced by ticks while feeding on a human host. The immune reaction can leave people with an allergy to red meat and other mammalian derived products.