Symptoms generally begin 2-14 days after inoculation from an infected tick
Non specific and highly variable<unk> 
Nausea/Vomiting
Abdominal pain
Myalgias <unk> e calf pain)
Headache
Fatigue
Conjunctivitis
Rash
Begins as a blanching maculopapular rash that evolves to become a petechial rash
Usually 2-5 days after<unk>  subsides
Starts on extremities and spreads inward (centripetally)
Can involve palms and soles (50% of cases)
Arthralgias
Positive Rumpel-Leede test
Development of petechiae at the site of blood pressure cuff and distally after compression
Begins as a blanching maculopapular rash that evolves to become a petechial rash
Usually 2-5 days after<unk>  subsides
Starts on extremities and spreads inward (centripetally)
Can involve palms and soles (50% of cases)
Development of petechiae at the site of blood pressure cuff and distally after compression
Secondary to host response against infected endothelial cells
Vasculitis
Myocarditis
Interstitial pneumonitis
Encephalitis
Vasculitis
Myocarditis
Interstitial pneumonitis
Encephalitis
Rocky mountain spotted fever
Other Tick Borne Illnesses
Rat bite fever
Non-specific viral illness
Chikungunya
Psittacosis
Crimean-Congo hemorrhagic fever
Anthrax 