Table 6.
Description of participants meeting criteria for having a potential tick-borne illness
| Patient | Time Attached (hrs) | Incubation (days) | Days Sick | Symptomsa | Went to Doctor/Blood Drawn | Medicine Prescribed (if any) | Species (stage) | Engorged | Pathogen (s) |
|---|---|---|---|---|---|---|---|---|---|
| 2 | 6-12 | 0 | 2 | tight neck | yes/no | clarithromycin | D. variabilis (adult) | no | E. ewingii & R. montana |
| 6 | unknown | 6 | unknown | lump in neck, joint pain | no | none | D. variabilis (adult) | partially | R. montana |
| 7 | 6-12 | 12 | 1 | fatigue, chills, nausea, stomach pain, weakness, muscles, loss of appetite, dizziness, headache, joint pain | no | none | A. americanum (adult) | no | R. rhipicephali |
| 8 | >48 | 11 | 2 | diarrhea, stomach pain, weakness | no | none | I. scapularis (adult) | partially | Rickettsia sp. TR-39 |
| 9 | unknown | unknown | 14 | fever, myalgia, rash, weakness, dizziness, headache, joint pain, bull’s-eye rash (grew to 13–15 cm diameter) | yes/no | doxycycline | 7 A. americanum (nymphs) | no | 1 R. amblyommii |
| 10 | 24-48 | 5 | 21 | fatigue fever, nausea, rash, weakness, myalgia, dizziness, headache, raised, reddish, swollen rash | yes/yes | doxycycline | 7 A. americanum (nymphs) | no | 4 R. amblyommii |
| 11 | >48 | 17 | 6 | headache, nausea, weakness, loss of appetite | no | none | 2 A. americanum (adult and nymph) | no | 1 R. amblyommii |
| 12 | 24-48 | 1 | 14 | rash, joint pain, red 3 cm rash | yes/no | unknown topical cream | 2 A. americanum (nymphs) | no | 1 R. amblyommii |
| 13 | 24-48 | 5 | 7 | insomnia, chills, stomach pain, weakness, loss of appetite, headache, joint pain, sweats | yes/yes | tetracycline | Amblyomma sp. (unknown) | unknown | R. amblyommii |
| 14 | 12-24 | 26 | 2 | fever, chills, nausea, stomach pain, weakness, myalgia, loss of appetite, sweats | no | none | D. variabilis (adult) | partially | R. amblyommii |
| 15 | unknown | 15 | unknown | pain in neck | no | none | A. americanum (adult) | no | R. amblyommii |
| 16 | 24-48 | 4 | unknown | sore eyes, extreme fatigue, fever, nausea, rash, weakness, myalgia, photosensitivity, headache, diarrhea, joint pain, confusion, bulls-eye rash | no | none | A. americanum (adult) | no | R. amblyommii |
afirst symptom (s) in bold