Disease information

Rickettsial diseases

Rickettsial diseases are a group of bacterial infections that include spotted fevers and typhus. Many are acquired from ticks, fleas, mites, or lice. Some cause a relatively mild illness, while others can become life-threatening without early treatment. A rash or a remembered bite may be absent, so neither is required for someone to be infected.

Prevention: Behavior

Symptoms

  • Fever, headache, and feeling unwell
  • Muscle aches, nausea, or vomiting
  • Sometimes a rash
  • Sometimes a dark scab or sore at the bite site

Transmission

  • Bites from infected ticks, mites, fleas, or lice, depending on the infection
  • Infected insect waste or fluids entering damaged skin or the eyes

Prevention

Use suitable insect and tick repellent, wear protective clothing, and check your body for ticks after outdoor activities. Limit contact with rodents, roaming animals, and their parasites.

Traveler risk

Risk varies by destination and activity, including hiking, camping, safaris, and close contact with animals.

Diagnosis and care

Early antibiotic treatment is important. Seek prompt care for fever after a possible exposure and mention your travel and outdoor activities; treatment may need to begin before test results return.

Source

  • Rickettsial Diseases

    Based on CDC information

    Source language: English

    Source reviewed: April 23, 2025

    Source accessed: May 17, 2026