What do Ehrlichia, Tularemia, and Southern Tick-Associated Rash Illness have in common? Well, besides being tongue twisters and challenging to spell, you can get them all from the Lone Star tick.
My interest in these three peaked when my dad discovered an adult female Lone Star tick attached to his hip. You can read his story here. Most people who contract a disease from the lone star tick, though, are bitten by ticks in the nymphal stage.
According to the CDC, “Nymphal ticks are much smaller than adult ticks, and people might not notice a nymph until it has been feeding for a few days. Nymphs are, therefore, more likely than adult ticks to transmit diseases to people.”
So, let’s say you or a loved one got bit by a Lone Star tick. What symptoms of tick-borne diseases should you be watching for? When would they appear? How common are these diseases in the region where you live or have traveled? Keep reading to discover the answers to these questions and more.
Ehrlichia, the bacteria that causes ehrlichiosis, can also be found in the blacklegged ticks that carry Lyme disease. In fact, ehrlichiosis is one of the most common Lyme co-infections. Ranking third on the co-infections list, it follows babesiosis and bartonellosis.
Were you bitten in the south-central or southeastern United States? Ehrlichiosis is most common there.
Signs and symptoms usually appear a week or two after the tick bite. They include chills, fever, confusion, nausea, vomiting, diarrhea, muscle aches, and severe headaches.
Tularemia can be found anywhere in Asia, Europe, and the United States. Be that as it may, it is most common in Kansas, Arkansas, Missouri, and Oklahoma.
Signs and symptoms usually appear three to five days after the tick bite but can take up to fourteen. They include flu-like symptoms like chills, fever, headache, and exhaustion. More specific signs include a skin ulcer and painful, swollen lymph glands.
Southern Tick-Associated Rash Illness (STARI)
As you might expect from the name, STARI is most prevalent in our southern states. The Atlantic coast—up to Maine—is another hot spot. When my dad got bit, we were on vacation near the coast of Maryland.
Around seven days after the tick bite, patients occasionally get a Lyme-like rash. According to the CDC, this red, bull’s-eye lesion “expands to a diameter of 8 centimeters (3 inches) or more.” Other signs and symptoms include fatigue, fever, and headache. Patients also suffer from joint and muscle pains.
In the past two weeks, my dad hasn’t had symptoms of STARI, ehrlichiosis, or tularemia. Thankfully, it seems like he dodged these three diseases carried by the Lone Star tick. We’re still waiting, however, to see if he’ll develop alpha-gal syndrome, the allergy to red meat.
In my next post, I share one of my favorite tools to prevent these and other tick-borne diseases. Click here to read it!