Table 2.

Rickettsia with significance for Europe

Rickettsia	Vector	Disease
R. akari	midge	rickettsial pox
R. conorii	tick	boutonneuse fever, tick bite fever
R. helvetica	tick	spotted fever with slowly healing papules
R. slovaca	tick	spotted fever with slowly healing papules
R. felis	cat flea	cat flea spotted fever (except for humans)
R prowazekii	louse	epidemic spotted fever, Brill-Zinsser disease – which occurs years after infection, cross-reaction with Proteus OX19 (Weil Felix reaction). The louse dies of the R. infection, louse faeces are infectious.
R. sibirica	louse, tick	spotted fever with slowly healing papules
R typhi	flea	murine spotted fever; 'Fleckfieber'
R. rickettsii	tick	Rocky Mountains spotted Fieber (only North America – patient's travel history)