The infections are acquired through rat bites or scratches. It can occur as nosocomial infections (i.e., acquired from hospitals), or due to exposure or close associations with animals preying on rats, mice, squirrels, etc.<unk>  is mostly seen in Asia and Africa. Local transmission has been reported in US. The incubation period is 4 to 28 days.
Sodoku
Onyalai
Jama
Riken
Kuru 
Kuru
Koi 
Samu