Bite sourceAssociated diseases
Ticks
American dog tick (Dermacentor variabilis)Q fever (Coxiella burnetii)
Rocky Mountain spotted fever (Rickettsia rickettsii); most common in the southeastern United States
Tick paralysis (toxin)
Tularemia (Francisella tularensis)
Black-legged or deer tick (Ixodes scapularis) and western black-legged tick (Ixodes pacificus)Babesiosis (Babesia microti), a parasitic disease mimicking malaria in the northeastern and upper midwestern United States (I. scapularis only)
Human granulocytic anaplasmosis (formerly human granulocytic ehrlichiosis)
Lyme disease (Borrelia burgdorferi)
Brown dog tick (Rhipicephalus sanguineus)Q fever
Rocky Mountain spotted fever
Lone Star tick (Amblyomma americanum)Alpha-gal sensitivity (red meat allergy)
Human monocytic ehrlichiosis caused by Ehrlichia chaffeensis
Q fever
Southern tick-associated rash illness or Masters disease, a southern Lyme disease–like illness with rash, previously thought to be caused by Borrelia lonestari (etiology still uncertain)
Tularemia
Pacific Coast tick (Dermacentor occidentalis)364D rickettsiosis (Rickettsia phillipi, proposed), newly identified in California
Rocky Mountain spotted fever
Tularemia
Rocky Mountain wood tick (Dermacentor andersoni)Colorado tick fever (orbivirus)
Potential vector of Powassan encephalitis and Q fever
Rocky Mountain spotted fever
Tick paralysis (toxin)
Tularemia
Soft ticks (Ornithodoros spp.), such as Pajaroello tick (Ornithodoros coriaceus)Pajaroello tick bites of the southwestern United States are associated with pain and localized necrosis, probably mediated by a toxin
Relapsing fever (Borrelia spp.) in the western United States
Woodchuck tick (Ixodes cookei)Powassan virus (Powassan encephalitis), a tick-borne encephalitis found in northern United States and Canada
Mites and fleas
House mouse mites (Liponyssoides sanguineus)Rickettsial pox (Rickettsia akari)
Various fleasCat flea typhus or flea-borne spotted fever (Rickettsia felis)
Cat-scratch disease (Bartonella henselae), transmitted between cats by fleas
Murine typhus (Rickettsia typhi)
Plague (Yersinia pestis), endemic to western United States with occasional human cases from contact with rodent fleas
Tularemia