Lyme and Coinfections Chart


 
Coinfections
Vector
Causative Agent
Endemic Area
Symptoms

Lyme Disease

Deer Tick
Pacific
Black-legged Tick
Borrelia burgdorferi
Borrelia lonsestari
Northeast
Midwest
West Coast
Off season flu
Rash (bull’s-eye or other)
Constitutional symptoms
Musculoskeletal symptoms
Wide range of neurological symptoms, including Bell’s Palsy

Babesiosis

Deer Tick
Pacific
Black-legged Tick
Babesia microti
WA-1
Northeast
West Coast
Fever
Hemolytic anemia
Constitutional symptoms
Possible death

Ehrlichiosis

Deer Tick
Pacific
Black-legged tick
American Dog Tick
Long Star Tick
Ehrlichia phagocytohphila Northeast
Upper Midwest
Fever
Headache
Constitutional symptoms
Possible death

Colorado Tick Fever

Rocky Mountain Wood Tick Colorado Tick Fever Virus Western US Fever with remission
Second bout of fever

Tick Relapsing Fever

Relapsing fever tick (Ornithodoros turicata) Borrelia hermsii Western US Periods of fever
Petechial rashes

Q Fever

Brown Dog Tick
Rocky Mountain Wood Tick
Lone Star Tick
Coxiella burnetii Throughout US Acute fever
Chills
Sweats

Powassan Viral Encephalitis

Woodchuck Tick Flavivirus Eastern and Western US Fever
Meningoencephalitis
10% fatality rate
50% Neurological sequela

Rocky Mountain Spotted Fever

American Dog Tick
Rocky Mountain Wood Tick
Rickettsia Throughout US Sudden fever
Maculopapular rash on soles of hands and feet that spreads over the entire body
3%-5% fatality rate

Tick Paralysis

American Dog Tick
Rocky Mountain Wood Tick
Lone Star Tick
Neurotoxin excreted from tick’s salivary gland Throughout US Fatigue
Flacid paralysis
Tongue and facial paralysis
Convulsions
Death

Tularemia

American Dog Tick
Rocky Mountain Wood Tick
Lone Star Tick
  Throughout US Indolent ulcers
Swollen lymph nodes
Deaths can occur

Bartonella

Cats
Ticks
Fleas
 Bartonella Quintana
Bartonella henselea
Worldwide Fever
Mild neurological signs
Granulomatous lymphadenitis
Red popular lesion