The increased incursion of the human population into formerly wild and
rural areas during the latter half of this century has precipitated e
nhanced awareness of, and concern for, pathogens transmitted by ticks.
(63, 71) In addition to established diseases, like Rocky Mountain spot
ted fever (RMSF), tularemia, and relapsing fever, tick-borne infection
s, such as Lyme disease and babesiosis, have been newly described sinc
e 1975. Among these emerging tick-borne diseases are two clinically si
milar and geographically diverse illnesses caused by rickettsia of the
genus Ehrlichia, recently recognized as agents of human disease in th
e United States.