RT Book, Section A1 Kopp, Sandra A. A1 Halpern, Analisa V. A1 Green, Justin J. A1 Heymann, Warren R. A2 Goldsmith, Lowell A. A2 Katz, Stephen I. A2 Gilchrest, Barbara A. A2 Paller, Amy S. A2 Leffell, David J. A2 Wolff, Klaus SR Print(0) ID 56090327 T1 Chapter 199. The Rickettsioses, Ehrlichioses, and Anaplasmoses T2 Fitzpatrick's Dermatology in General Medicine, 8e YR 2012 FD 2012 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-166904-7 LK accessmedicine.mhmedical.com/content.aspx?aid=56090327 RD 2024/04/24 AB |PrintRICKETTSIAL, EHRLICHIAL, AND Anaplasma INFECTIONS AT A GLANCERickettsiae primarily target vascular endothelial cells, causing febrile illness and rash in the mammalian host.Transmission is predominantly via tick bites, with certain pathogens transmitted by human body lice and mites.Fever, headache, myalgia, and malaise are common to rickettsial, ehrlichial, and Anaplasma infections; rash is common in rickettsial disease, occasional in ehrlichial infection, and rare in anaplasmosis.The early signs and symptoms of infection are often nonspecific and can mimic self-limited viral illnesses or other life-threatening illnesses.Early empiric treatment with doxycycline should be considered in highly suspicious cases until rickettsial infection is definitively ruled out, as delayed treatment can lead to severe sequelae and high mortality rates.