Table 4. Clinical and epidemiological characteristics of spotted fevers caused by rickettsiae found in this study.

Species	Disease	Tick species associated (literature data)	Tick species associated (present study)	Fever, %	Diffuse rash, %	Eschar, %	Lymphadenopathy	Lymphangitis	Reported mortality rates,%
R. conorii conorii	Mediterranean spotted fever	Rh. sanguineus, Rh. simus (?)	Rh. e. evertsi	100	97	72	Rare	No	1–5
R. africae	African tick-bite fever	A. variegatum, A. hebraeum, Rh. (B.) microplus, Rh. (B.) decoloratus	Rh. e. evertsi, Rh. (B.) annulatus	92	43	98%, often multiple	Yes	No	Very low
R. sibirica mongolitimonae	Lymphangitis-associated rickettsiosis	H.truncatum, H. asiaticum, H. anatolicum excavatum, Rh. pusillus	H.truncatum	100	78	89%	55%	Yes, up to 44%	0
R. aeschlimannii	Unnamed	H. m. marginatum, H. m. rufipes, H. aegyptium, Haemaphysalis inermis	H.truncatum,H. m. rufipes, Rh. e. evertsi	Yes	Yes	Yes	?	?	0
R. massiliae	Unnamed (one case)	Rh. sanguineus, Rh. turanicus, Rh. muhsamae, Rh. lunulatus, Rh. sulcatus	Rh. guilhoni	Yes	Yes	Yes	?	?	0