What can a tick bite transmit?

What can a tick bite transmit? - briefly

Tick bites can introduce a range of infectious agents, including bacteria such as Borrelia burgdorferi (Lyme disease) and Anaplasma phagocytophilum, viruses like Powassan, and protozoa such as Babesia microti. These pathogens may cause systemic illnesses that require prompt medical evaluation.

What can a tick bite transmit? - in detail

Ticks are capable of transferring a wide array of infectious agents during feeding. The most common bacterial pathogen is Borrelia burgdorferi, the cause of Lyme disease, which produces erythema migrans, arthritis, and neurologic complications if untreated. Anaplasma phagocytophilum induces human granulocytic anaplasmosis, presenting with fever, leukopenia, and elevated liver enzymes. Ehrlichia chaffeensis and Ehrlichia ewingii cause human monocytic and granulocytic ehrlichiosis, respectively, characterized by headache, rash, and thrombocytopenia.

Protozoan parasites also rely on ticks for transmission. Babesia microti leads to babesiosis, a malaria‑like illness with hemolytic anemia and potential organ failure. Theileria species affect livestock, causing theileriosis with fever, anemia, and high mortality rates.

Viral agents transmitted by ticks include:

  • Powassan virus, producing encephalitis with rapid neurologic decline.
  • Tick‑borne encephalitis virus (TBEV), causing meningitis or encephalitis, especially in Europe and Asia.
  • Crimean‑Congo hemorrhagic fever virus, resulting in severe hemorrhagic fever with high fatality.

Rickettsial organisms are another group. Rickettsia rickettsii causes Rocky Mountain spotted fever, marked by fever, rash, and vascular injury. Rickettsia parkeri and Rickettsia africae produce milder spotted fever syndromes with similar cutaneous manifestations.

Occasionally, ticks serve as vectors for emerging pathogens such as Borrelia miyamotoi, responsible for relapsing fever, and Neoehrlichia mikurensis, associated with vascular inflammation in immunocompromised patients.

Risk factors influencing transmission include tick species, duration of attachment, and geographic prevalence of specific pathogens. Prompt removal within 24 hours markedly reduces the probability of infection for most agents, though some, like Borrelia burgdorferi, may be transmitted earlier. Early recognition of clinical signs and targeted laboratory testing are essential for effective management.