Rash or craterlike sore after a tick bite

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Several of the diseases ticks pass to humans may cause a rash or craterlike sore (ulcer). Usually flulike symptoms (such as fever, headache, muscle aches, and a general feeling of illness) occur before or at the same time as the rash or craterlike sore. Tick bite diseases that may occur with a rash or craterlike sore include:

  • Ehrlichiosis. A rash develops in about 20% to 40% of cases. The rash may be red with raised bumps (maculopapules) or tiny purple or red spots (petechiae).
  • Lyme disease. An expanding red rash may occur with Lyme disease.
  • Relapsing fever. A rash develops in up to 50% of cases. The rash may be a red rash with raised bumps (maculopapules) or tiny purple or red spots (petechiae).
  • Rocky Mountain spotted fever. A rash develops in 85% to 95% of cases. The rash often starts on the palms of the hands and soles of the feet, then spreads to the arms and legs and the rest of the body.
  • Tularemia. In about 80% of cases, an open sore develops at the site of the bite.

A health professional can evaluate the cause of your rash or sore and recommend treatment.

Credits

Author Jan Nissl, RN, BS
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Tracy Landauer
Primary Medical Reviewer William M. Green, MD
- Emergency Medicine
Specialist Medical Reviewer H. Michael O'Connor, MD
- Emergency Medicine
Last Updated January 17, 2008
Last Updated: 01/17/2008

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