primary bacterial infectious disease spotted fever GARD:4998 UMLS_CUI:C0038041 disease_ontology ICD10CM:A77.9 DOID:11104 ICD9CM:082.0 A primary bacterial infectious disease that results in infection, located in endothelial cell of artery or located in endothelial cell of vein, has_material_basis_in Rickettsia, which is transmitted by ticks and mites. The infection has symptom fever, has symptom headache, has symptom fatigue, has symptom muscle aches, and has symptom maculopapular or petechial rash. A distinctive eschar (blackened or crusted skin) may develop at the site of a tick bite. MESH:D000073605 SNOMEDCT_US_2020_03_01:186771002 Spotted fever group rickettsial disease