After an incubation period around seven days, the disease manifests abruptly with chills, high fevers, muscular and articular pains, severe headache, and photophobia. The location of the bite forms a black, ulcerous crust (tache noire). Around the fourth day of the illness, a widespread rash appears, first macular and then maculopapular, and sometimes petechial.
Boutonneuse fever
Tomato fever
Haverhill fever
Rat-bite fever
Cotton fever
Metal fume fever
Cuban fever
Murine typhus