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Ehrlichiosis Fact Sheet


PDF Version of this Fact Sheet

Ehrlichiosis (Er-lick-key-osis) is caused by the bacteria called Ehrlichia

There are two forms of human ehrlichiosis: Human Monocytic Ehrlichiosis (HME) caused by Ehrlichia chaffeensis and Human Granulocytic Ehrlichiosis (HGE) caused by bacteria similar to Ehrlichia equi and Ehrlichia phagocytophilia.

You can't catch ehrlichiosis from another person—you get it by a tick bite from an infected tick

Infected tick bites of the Lone Star tick, the blacklegged or deer tick, and the American dog tick cause disease in humans. Not every tick bite causes disease.

Anyone can get ehrlichiosis

People may be exposed when they spend time outdoors in tick-infested areas (such as wooded, brushy, or grassy places). Pets may also bring ticks into the house as another possible means of exposure.

Symptoms appear 5 to 10 days after a tick bite

People with ehrlichiosis usually have flu-like symptoms such as fever, headache, tiredness, and muscle aches. Other symptoms may include nausea, vomiting, lack of appetite, diarrhea, cough, joint pains, confusion, and sometimes a rash. It is likely that many people who become infected with the bacteria do not become sick or only get very mild symptoms. However, some people may have severe disease that can result in death.

Ehrlichiosis can be treated; see your doctor early if you think you have it

Ehrlichiosis is treated with antibiotics.

You can prevent ehrlichiosis

  • Avoid areas infested with ticks (woods, tall grassy areas).
  • Keep the grass in your yard cut; remove leaves and leaf litter; clear brush from around houses.
  • Use a tick repellent according to the directions on the product label.
  • Wear light-colored clothes to help spot ticks.
  • Wear protective clothing (long pants and long-sleeved shirts, tuck pant legs into socks, and tuck shirt into pants) when working or playing in areas where you may have frequent or prolonged exposure to ticks.
  • Inspect your entire body (head to toe) for ticks after being outdoors.
  • Inspect your children and pets for ticks after they have been outdoors.
  • Remove an attached tick by grasping the tick close to the skin surface and pulling straight back with steady force; use pointed tweezers to grasp the tick. If fingers must be used, protect bare hands with gloves, cloth, or tissue. Do not squeeze the tick's body or use petroleum jelly, lighted matches, cigarettes, or alcohol. Clean the bite site after removing a tick as you would with any minor wound, then wash your hands with soap and water.
  • Mark on your calendar when a tick is taken off your body. This information will be useful to your doctor.

Household pets may carry ticks inside the home

  • Try to prevent pets from going into areas infested with ticks (e.g., woods, fields)
  • Brush loose ticks off before letting pets into the house.
  • Remove all ticks in the same way as you would from yourself.
  • Talk to your veterinarian about tick control products.

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Maryland Department of Health & Mental Hygiene
Office of Epidemiology and Disease Control Programs

May 2002

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