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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.
Ticks that have been implicated in tick paralysis in the United States are the Rocky Mountain wood tick, the lone star tick, and the American dog tick. However, not all members of a species cause tick paralysis. The toxin that causes this condition is part of the salivary fluid that the tick injects.