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Organisms Borne by Ticks and Other Vectors   235


                       heart damage may occur. Mucous membranes may   inhabit tall grasses along with the ticks. In the United
                       become inflamed, particularly the tissues around the   States the majority of vector-borne cases of diseases may
                       eyes, a condition called conjunctivitis.     be attributed to the causative agent for Lyme disease.
                    ■    Stage Three                                    The name for the disease is derived from an area
                                                                    of the northeastern United States, specifically from
                       The third and final stage, called late, persistent infec-
                                                                    Old Lyme, Connecticut, where it was first described,
                       tions, results in permanent damage to the joints of the   although it most likely existed prior to this time. The
                       body and the entire nervous system. Clinical signs
                                                                    Lyme disease spirochete, B. burgdorferi, employs the
                       will include swelling and inflammation of the joints,   traditional pattern of other parasites where the vector is
                       causing considerable pain. Numbness and tingling
                                                                    the deer tick (I. dammini) and the white-footed mouse
                       of the hands and feet and sometimes in the back will   serves as the reservoir host. White-tailed deer are not
                       occur. Extreme feelings of tiredness are commonly
                                                                      directly involved in this method of transmission but they
                       experienced. These symptoms, due to damage to   are crucial in maintaining a large tick population as the
                       the tissues of the body, may not occur for months or
                                                                    primary host for the adult stage. Other rodents and at
                       years following the initial infection. When the condi-  least one species of bird are also known to serve as hosts
                       tion has become chronic the signs and symptoms are
                                                                    in the United States and to transmit disease organisms to
                       extremely serious with a grave prognosis.
                                                                    the vectors, the I. dammini tick.
                       Nymphal stages of ticks transmit the majority of
                   the disease agents through the injection of spirochetes   Rocky Mountain Spotted Fever
                   contained in the saliva of the tick and into the victim,
                   but some cases are known to have occurred from bites   Why the name “Rocky Mountain spotted fever” was as-
                   involving the adult stage of a particular species of tick.   cribed to the infection of the organism whose scientific
                   Lyme disease cases are more significant in some pock-  name is Rickettsia rickettsii has apparently been lost to
                   ets of geography than in others with small areas of high   history, because it appears to be a misnomer. As early as
                   prevalence. Lyme disease spirochetes may be found in   the 1930s, it became clear that this disease occurred in
                   roughly two-fifths of nymphal ticks in endemic areas   many areas of the United States other than the Rocky
                   and in almost all species of rodents, such as rats and   Mountain region. In the 1980s the disease gained a
                   ground-welling squirrels as well as other species of ro-  great deal of publicity and it can now be shown that this
                   dents, found in areas where the disease is prevalent   disease is broadly distributed through almost all of the
                    (Figure 11-10). These small ground-dwelling animals   states, and even extends into Canada and to the south
                   are particularly vulnerable to tick bites as they also   through Central America and parts of South America.
                                                                    Transmission of Rocky Mountain spotted fever from
                                                                    ticks mostly occurs when the tick vectors are most active
                                                                    and during warm weather when people tend to spend
                                                                Source: Centers for Disease Control and Prevention (CDC)  disease, are two of the most frequently reported rick-
                                                                    more time outdoors.
                                                                        Rocky Mountain spotted fever, along with Lyme

                                                                    ettsial illnesses in the United States and are also among
                                                                    the most lethal diseases transmitted by ticks. Because it
                                                                    has been diagnosed on both of the American continents,
                                                                    there is an increasing potential for even more widespread
                                                                    outbreaks. Some synonyms for Rocky Mountain spot-

                                                                    as well as a number of names used exclusively in certain
                                                                    regions and countries of Mexico and of South America.
                                                                    Rocky Mountain spotted fever, caused by a species of
                   FIGURE 11-10  Rodents, which also include prairie   ted fever used in other countries include “tick typhus”
                   dogs, ground squirrels, mice, and other mammals, can   bacteria called R. rickettsii, is spread to humans by the
                   transmit tick-borne illnesses, including Lyme disease  Ixodid (hard) tick. This is a species involved in the
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