Incubation period: 7-14 days
Variable and non-specific
Often presents as acute, self-limited illness, with no complications
Fever- can last ~1 week
Rash
Macular or maculopapular, blanching, non-pruritic
Starts centrally and moves to the extremities
Can involve palms/soles but usually sparing
Starts 6-7 days after symptom onset (fever onset)
Headache
Arthralgias
Macular or maculopapular, blanching, non-pruritic
Starts centrally and moves to the extremities
Can involve palms/soles but usually sparing
Starts 6-7 days after symptom onset (fever onset)
Hepatomegaly
Splenomegaly
Cough
Diarrhea
Nausea/Vomiting
Abdominal pain
Confusion
Murine typhus
Non-specific viral illness
Rat bite fever
Most common admitting diagnosis in one case study was "fever of unknown origin"[2]
Epidemic typhus
Babesiosis
Drug fever
Colorado tick fever