P. Katavolos et al., DURATION OF TICK ATTACHMENT REQUIRED FOR TRANSMISSION OF GRANULOCYTICEHRLICHIOSIS, The Journal of infectious diseases, 177(5), 1998, pp. 1422-1425
Deer tick-transmitted pathogens such as Lyme disease spirochetes and b
abesiae appear to require a period of reactivation and replication dur
ing the tick's blood meal before it is able to infect a host. The dura
tion of nymphal tick attachment that is required for transmission of t
he agent of human granulocytic ehrlichiosis (HGE) was determined by re
moving feeding ticks from mice at various time points. As with spiroch
etes and babesiae, ehrlichiae infected few mice when ticks were remove
d prior to 36 h of tick attachment. This ''grace period'' may serve as
a modifying factor in the epidemiology of this newly emergent zoonosi
s and help physicians make informed decisions concerning management of
tick bites in HGE-endemic areas.