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Tick-borne diseases

Tick-Borne Diseases: What Each Tick Can Carry

A plain-language, sourced overview of the illnesses ticks can transmit — what they are, the symptoms to watch for, how soon symptoms appear, and which tick carries each. The Lone Star tick's own illnesses are listed first. Educational only — not medical advice.

Symptom-onset comparison

Roughly how soon symptoms tend to appear after exposure, and the main tick vector. Ranges are approximate — see each page for sources.

DiseaseTypical onsetMain vector tickLone Star?
Alpha-gal syndromeReactions are characteristically delayed. Per the CDC, symptoms usually appear about 2 to 6 hours after eating red (mammalian) meat or dairy products. This delay -- reactions can even begin during the night -- is a hallmark of AGS and is a big reason it can be hard to connect to food; individual timing varies and some clinical reports describe reactions appearing somewhat later.Lone star tickYes
Bourbon virus diseaseNot firmly established by CDC. In the small number of reported cases, symptoms have generally begun within days to a couple of weeks of a tick bite (broadly described as days to weeks). CDC has not published a precise incubation period for Bourbon virus.Lone Star tickYes
EhrlichiosisSymptoms usually begin about 1-2 weeks (roughly 5-14 days) after the bite of an infected tick, according to the CDC.Lone Star tick, Blacklegged tickYes
Heartland virus diseaseA few days to several weeks after a tick bite. According to the CDC, the incubation period (the time from tick bite to feeling sick) ranges from a few days to several weeks. Most patients reported being exposed to ticks in the two weeks before their illness began, and most had illness onset from May through September.Lone star tickYes
Southern Tick-Associated Rash Illness (STARI)The STARI rash usually appears within about 7 days of the lone star tick bite (CDC); in practice, reported timing can range from a few days to roughly two weeks. Individual cases vary.Lone star tickYes
TularemiaSymptoms usually begin 3–5 days after exposure, with a reported range of about 1–21 days, according to CDC clinical guidance.American dog tick, Rocky Mountain wood tick, Lone Star tickYes
AnaplasmosisSymptoms typically begin about 5–14 days (roughly 1–2 weeks) after the bite of an infected tick. Many people do not remember being bitten.Blacklegged tick (deer tick), Western blacklegged tickNo
BabesiosisSymptoms, when they appear, usually develop within a few weeks to a couple of months of exposure — often about 1 to 4 weeks after a tick bite. They can start around a week after infection and, especially in people with weakened immune systems, may first appear or recur months later (CDC).Blacklegged tickNo
Lyme DiseaseThe erythema migrans rash typically appears 3 to 30 days after the tick bite, with an average of about 7 days (CDC). Later signs such as arthritis, facial palsy, or Lyme carditis can develop days to months after an untreated infection.Blacklegged tick (deer tick), Western blacklegged tickNo
Powassan virus diseaseFor people who do develop symptoms, the time from an infected tick's bite to feeling sick (the incubation period) generally ranges from about 1 week to 1 month; many infected people never develop symptoms at all.Blacklegged tick (deer tick), Groundhog tick, Squirrel tickNo
Rocky Mountain spotted feverSymptoms usually begin about 3–12 days after the bite of an infected tick (per CDC). When a rash appears, it typically shows up 2–4 days after the fever starts, and the more distinctive spotted (petechial) rash often does not appear until day 5 or 6 of illness.American dog tick, Rocky Mountain wood tick, Brown dog tickNo

Alpha-gal syndrome

Lone Star

Alpha-gal syndrome is a delayed allergy to red (mammalian) meat linked mainly to lone star tick bites. Learn the symptoms, the 2-6 hour onset, testing, and prevention. Educational, not medical advice.

Read about Alpha-gal syndrome

Bourbon virus disease

Lone Star

Bourbon virus is a rare illness believed to spread through Lone Star tick bites in the US. Learn the symptoms, the days-to-weeks onset window, testing, supportive care, and how to prevent tick bites. Educational, not medical advice.

Read about Bourbon virus disease

Ehrlichiosis

Lone Star

Ehrlichiosis is a bacterial illness spread mainly by the Lone Star tick. Learn the symptoms, the ~1-2 week (5-14 day) onset window, how it's diagnosed and treated with doxycycline, and where it occurs in the US. Educational, not medical advice.

Read about Ehrlichiosis

Heartland virus disease

Lone Star

Heartland virus is a rare illness spread mainly by the lone star tick in the eastern, southeastern, and south-central U.S. Learn the symptoms, onset window, and how to prevent tick bites. Educational, not medical advice.

Read about Heartland virus disease

Southern Tick-Associated Rash Illness (STARI)

Lone Star

Southern tick-associated rash illness (STARI) is an expanding rash that can follow a lone star tick bite. Learn how it looks, how it differs from Lyme disease, and when to see a clinician.

Read about Southern Tick-Associated Rash Illness (STARI)

Tularemia

Lone Star

Tularemia is a rare but treatable bacterial infection spread by ticks (including the Lone Star tick), deer flies, and infected animals. Learn the symptoms, the usual 3–5 day onset, diagnosis, treatment, and prevention. Educational, not medical advice.

Read about Tularemia

Anaplasmosis

Anaplasmosis is a treatable bacterial tick-borne illness spread by blacklegged (deer) ticks, not Lone Star ticks. Learn the symptoms, onset window, and doxycycline treatment.

Read about Anaplasmosis

Babesiosis

Babesiosis is a red-blood-cell infection from Babesia parasites spread by the blacklegged (deer) tick — not the Lone Star tick. Learn the symptoms, the roughly 1–4 week onset window, diagnosis, treatment, and prevention. Educational, not medical advice.

Read about Babesiosis

Lyme Disease

Lyme disease is a bacterial infection spread by blacklegged (deer) ticks — not the Lone Star tick. Learn the erythema migrans rash timeline, symptoms, testing, treatment, and prevention.

Read about Lyme Disease

Powassan virus disease

Powassan virus is a rare tick-borne infection spread by blacklegged (deer) ticks in the US Northeast and Great Lakes — not the Lone Star tick. Learn the symptoms, the 1-week-to-1-month onset window, and prevention. Educational, not medical advice.

Read about Powassan virus disease

Rocky Mountain spotted fever

Rocky Mountain spotted fever (RMSF) is a bacterial illness spread by the American dog, Rocky Mountain wood, and brown dog ticks — not the Lone Star tick. Learn the symptoms, the 3–12 day onset window, treatment, and prevention. Educational, not medical advice.

Read about Rocky Mountain spotted fever
Educational information only — not medical advice, diagnosis, or treatment. Only a licensed clinician can diagnose a tick-borne illness. For emergencies such as trouble breathing or anaphylaxis, call emergency services.