STARI (Southern Tick-Associated Rash Illness)
STARI is the acronym for a recently recognized condition known as "southern tick-associated rash illness," which involves a rash indistinguishable from a Lyme disease EM lesion. The condition has been associated with a spirochete that has been isolated from skin lesions of patients and from ticks. Based on DNA analysis, it is not the same species as the spirochete that causes Lyme disease. Relatively little is known about STARI, which is apparent by the qualified details below.
- A bacterium, specifically a spirochete tentatively identified as Borrelia lonestari.
- Documented cases have occurred in the southeastern and south central U.S.
- Similar to the initial flu-like symptoms of Lyme disease.
- Reddish "bulls eye" rash at site of tick bite, indistinguishable from a Lyme disease EM lesion.
- Not documented, but thought to be white-tailed deer.
- Amblyomma americanum, the Lone Star tick.
- From infected lone star ticks (nymphs and adults) to humans via their bite.
- NOTE: there is no known human-to-human transmission.
- EM lesion at the feeding site of a Lone Star tick.
- Antibiotic prescribed by a physician.