<unk>  is often asymptomatic or mild in clinical presentation and complications are rare. The onset of illness is typically 5–7 days after the tick bite, although in some cases it may take up to 10 days for symptoms to occur. Symptoms can persist for several days to up to three weeks. Common presenting symptoms include: * Fever * Headache * Muscle aches * Inoculation eschar, which is dead, often black, tissue around a bite site (see photo above) * Eschars may or may not be present. Amblyomma ticks actively attack cattle or humans and can bite more than once. In<unk> , unlike what is typically seen with other Rickettsial spotted fevers when only one eschar is identified, multiple eschars may be seen and are considered pathognomonic. * Swollen lymph nodes near the site of the bite * Maculopapular and/or vesicular rash Complications Complications are rare and are not life-threatening. No deaths due to<unk>  have been reported. Reported complications include: * Prolonged fever > 3 weeks in duration * Reactive arthritis * Moderate to severe headache
African tick bite fever
American tick bite fever
Rat-bite fever
Spondweni fever
Scabies
Colorado tick fever
Sandfly fever
Pacific Coast tick fever