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The lone star tick is found in southern states as well as along the East coast up to Maine (see map below). Cases of STARI are most common in the south, although cases have been reported as far north as New Jersey. It is highly likely that cases of STARI have been mistaken for LD due to similarities in symptomology.
The bacteria is primarily spread by the lone star tick, but the deer tick and the American dog tick are suspected carriers. Early symptoms of ehrlichiosis are tiredness, high fever, muscle aches, headache and, in some cases, a rash that appears five to 10 days after a tick bite.