Mostly hard tick

Scrub typhus

• Scrub typhus (ST): Orientia tsutsugamushi (different strains/serotypes), Leptotrombidum mite

Spotted fever group

• African tick bite fever: Rickettsia africae, Tick

• Rickettsia conorii, Tick

• Japanese spotted fever (JSF): Rickettsia japonica, Tick

• Rocky Mountain Spotted fever, Rickettia rickettsii, Tick

Geography

Rickettsia endemic to Japan

• JSF (April-October)

• ST (Nov-Dec)

Reference: Distinguishing Japanese Spotted Fever and Scrub Typhus, Central Japan, 2004-2015