Ehrlichiosis

What is ehrlichiosis?

Ehrlichiosis is a bacterial infection that infects animals, such as dogs, deer, coyotes, and mice. Sometimes the disease spreads to humans.

How does it occur?

People can become infected when they are bitten by a tick. If a tick bites an animal infected with ehrlichiosis and then bites you, you may become infected. The infection does not spread from person to person. In the US, the disease occurs mainly in the southeastern and south central regions of the country.

What are the symptoms?

The symptoms of ehrlichiosis vary. They may appear within several days to 3 weeks of a tick bite. In most cases the symptoms are mild flulike or coldlike symptoms, such as:

• muscle aches
• tiredness
• headache
• fever
• chills.

Sometimes the symptoms include:

• nausea
• vomiting
• cough
• joint pain
• confusion.

Unlike some other infections spread by ticks, the infection does not usually cause a rash.

How is it diagnosed?

Ehrlichiosis can be hard to diagnose. Your healthcare provider will ask about your symptoms and your history of exposure to ticks. He or she will examine you. You may have some blood tests to check your white blood cell count, your platelet count, and your liver.

How is it treated?

Ehrlichiosis can be treated with antibiotics. If the infection is severe, you may be treated in the hospital.

How long will the effects last?

Without treatment, the symptoms of ehrlichiosis may last for up to 2 months. Once you start taking antibiotics, you will usually start feeling better in a couple of days.

Rarely, the infection can become severe and life threatening, causing serious complications such as infection in the brain, seizures, or heart failure.

How can I take care of myself?

Take your medicines just as prescribed by your healthcare provider and get plenty of rest.

How can I help prevent ehrlichiosis?

Because ehrlichiosis is spread by ticks, the best way to avoid getting it is to avoid getting bitten by ticks. If you are bitten, remove the tick as soon as possible.

• Be aware of the areas where ticks live. Do not walk, camp, or hunt in the woods of tick-infested areas without precautions. In areas of thick underbrush, try to stay near the center of trails.
• When you are outdoors, wear long-sleeved shirts tucked into your pants. Wear long pants tucked into your socks or boot tops if possible. A hat may help, too. Wearing light-colored clothing may make it easier to spot the small tick before it reaches your skin and bites.
• Use approved tick repellents on exposed skin and clothing. Follow the directions on the package. Don't put repellent on open wounds or rashes. Wash the spray off your hands. Be careful with children because the repellents can make them ill.

  DEET is a very effective repellent, but adults should use preparations with no more than 35% DEET, and children should use repellents with no more than 10% DEET. DEET should be washed off your body when you go back indoors.

  Picaridin is another repellent recently made available in the US. It can be less irritating to the skin than DEET.

  Some products containing permethrin are recommended for use on clothing, shoes, bed nets, and camping gear. Do not put permethrin on your skin.

• Treat household pets for ticks and fleas. Check pets after they've been outdoors.
• Brush off clothing and pets before entering the house.
• After you have been outdoors, undress and check your body for ticks. They usually crawl around for several hours before biting. Check your clothes, too. Wash them right away to remove any ticks.
• Shower and shampoo after your outing.
• Inspect any gear you have carried outdoors.
• Remove an attached tick with tweezers by gripping the tick as close to your skin as possible and gently pulling it straight away from you until it releases its hold. Don't twist the tick as you pull, and don't squeeze its body. Thoroughly wash your hands and the bite area and apply an antiseptic such as rubbing alcohol.
• If you spend much time hiking, you may want to include a pair of tick tweezers in your first-aid kit. The tweezers are available at many sporting goods stores.