RT Book, Section A1 Liaqat, Maryam A1 Halpern, Analisa V. A1 Green, Justin J. A1 Heymann, Warren R. A2 Kang, Sewon A2 Amagai, Masayuki A2 Bruckner, Anna L. A2 Enk, Alexander H. A2 Margolis, David J. A2 McMichael, Amy J. A2 Orringer, Jeffrey S. SR Print(0) ID 1161342659 T1 The Rickettsioses, Ehrlichioses, and Anaplasmoses T2 Fitzpatrick's Dermatology, 9e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9780071837798 LK dermatology.mhmedical.com/content.aspx?aid=1161342659 RD 2024/04/19 AB 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.