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. 2020 Jun 1;69(6):781–791. doi: 10.1099/jmm.0.001206

Table 1.

Main groups of tick-borne pathogens and diseases. See the main text for references

Disease or condition

Pathogen

[main vector]*

Geography

Prevalence† and comments

Viral

Flaviviridae / Flavivirus (tick-borne encephalitis group)

Tick-borne encephalitis (TBE)

TBE virus complex (I. ricinus,

I. persulcatus)

Europe, Asia, Middle East

Common and widespread

Powassan encephalitis (POW)

POW virus

(I. scapularis, I. cookei)

Northeastern USA/ adjacent Canada, Russian Far East

Rare, increasing

Other TBEs: Omsk haemorrhagic fever (OHF), Kyasanur Forest Disease (KFD), louping ill, others

OHF, KFD, other viruses (Ixodes, Dermacentor, Haemophysalis sp.)

Europe, Russia, China, Japan, India, Southeast Asia, Middle East

Rare to common within localized range; some increasing

Bunyavirales/ Orthonairovirus

Crimean–Congo haemorrhagic fever (CCHF)

CCHF virus (Hyalomma marginatum, other tick sp.)

Europe, Central Asia, India, Africa

Common and widespread; increasing

Bunyavirales/ Phlebovirus

Severe fever with thrombocytopenia syndrome (SFTS)

SFTS virus (H. longicornis and

R. microplus)

China, Korea, Japan

Uncommon, increasing

Heartland virus

(A. americanum)

Mid-western and southern USA

Rare

Bhanja virus

(Dermacentor, Haemophysalis sp.)

Africa, Central Asia, southern Europe

Rare

Orthomyxoviridae / Thogotovirus

Thogoto (THOV), Dhori (DHOV) and Bourbon virus

(Hyalomma, Amblyomma, Rhipicephalus sp.)

Africa, Asia, Europe (THOV and DHOV), USA (Bourbon)

Rare; Bourbon virus isolated from A. americanum

Reoviridae / Coltivirus

Colorado tick fever (CTF)

CTF virus

(D. andersoni)

Western USA and Canada

Rare

Eyach virus

(I. ricinus)

Central Europe

Rare

Bacterial

Spirochaetales/Borrelia spirochetes (borreliosis and relapsing fever)

Lyme disease

Borrelia burgdorferi (I. ricinus complex)

Temperate North America,

Europe, Asia

Common, widespread

Relapsing fever borreliosis

B.miyamotoi (I. ricinus complex)

Temperate North America,

Europe, Asia?

Rare

Relapsing fever borreliosis – tick-borne relapsing fever

(TBRF)

Relapsing fever Borrelia (Ornithodoros and Carios sp.)

Worldwide (except Australia), mostly tropical and desert regions

Rare to common locally

Southern tick-associated rash illness (STARI)

Unknown (A. americanum)

Southern and eastern USA

Rare

Rickettsiales/Rickettsia (spotted fever and tick typhus)

Rocky Mountain spotted fever

(RMSF)

Rickettsia rickettsii

(D. variabilis, D. andersoni, R. sanguineus)

Western hemisphere

Common

Rickettsiosis

R.parkeri (A. maculatum)

Southern and mid-Atlantic USA, South America

Rare, emerging in South America

Pacific Coast tick fever (PCTF)

R. philipii

(D. occidentalis)

California, Pacific coast

Rare

Mediterranean spotted fever

R. conorii complex (Rhipicephalus sanguineus)

Europe, Africa, Middle East, Asia

Uncommon, imported

African tick bite fever

R. africae (Amblyomma sp.)

Africa, West Indies, Oceania

Uncommon, imported

Rickettsiales/ Anaplasmataceae (anaplasmosis and ehrlichiosis)

Human granulocytic anaplasmosis (HGA)

Anaplasma phagocytophilum

(I. scapularis, other sp.)

Northeastern and central USA

Common; emerging in Europe and Asia

Human ehrlichiosis

Ehrlichia chaffeensis , E. ewingii

(A. americanum)

Eastern USA

Common

Human ehrlichiosis

E. muris eauclairensis

(I. scapularis)

Minnesota and Wisconsin

Rare

Neoehrlichiosis

Ca. N. mikurensis (Ixodes sp.)

Europe, Asia

Rare

Other bacterial

Tularaemia

Francisella tularensis (Amblyomma, Dermacentor Ixodes and Haemaphysalis)

North America, Europe, Asia

Uncommon by tick bite; other routes of exposure

Parasites (Protists)

Human babesiosis

Babesia microti, B. divergens,

(I. ricinus complex)

Northeastern and Midwestern USA Europe, China

Common; emerging in Europe and Asia

Human babesiosis

B. duncani (WA-1 type parasite)

(D. albipictus, I. pacificus?)

Pacific Coast of North America

Emerging

Tick bite associated (non-pathogenic)

Alpha-gal syndrome (red meat allergy)

(A americanum, H. longicornis, Ixodes sp.)

Worldwide

Uncommon, increasing

Tick paralysis

Various species

USA, Australia, other countries

Rare

*Generic tick names abbreviated in (): A., Amblyomma; D., Dermacentor; H., Haemophysalis; I., Ixodes; R., Rhipicephalus.

†Prevalence, reported annual number of human cases (approximate): rare, <10; uncommon, >10–1000; common, >1000; common and widespread, ≈several thousands.