Human monocytic ehrlichiosis; HME; Human granulocytic ehrlichiosis; HGE; Human granulocytic anaplasmosis; HGA
The time between the tick bite and when symptoms occur is about 7 - 9 days. This is called the incubation period.
Symptoms may seem like the flu (influenza), and may include:
Other possible symptoms:
A rash appears in less than half of the cases. Sometimes, the disease may be mistaken for Rocky Mountain spotted fever. The symptoms are often quite general, but patients are sometimes sick enough to see a doctor.
The doctor will do a physical exam and check your vital signs, including:
Other tests include:
Bratton RL. Tick-borne disease. Am Fam Physician. 2005; 71(12): 2323-30.
Mandell GL, Bennett JE, Dolin R. Principles and Practice of Infectious Diseases. 5th ed. London: Churchill Livingstone; 2000:2310-2315.