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Anaplasmosis is similar to ehrlichiosis, but it is caused by a different type of bacteria and spread to humans by the black-legged (deer) tick and the western black-legged tick. The majority of cases occur during the summer months in the upper midwestern and northeastern states. The average number of cases each year has steadily increased since it was discovered in 1999  from 348 cases in 2000 to 1,761 cases in 2010. The case fatality rate ranges from 0.2%3%. The symptoms are also similar to a flu-like illness and appear within one to two weeks after being bitten. Some people may have very few symptoms, and others may develop severe symptoms such as hemorrhaging, kidney failure, or breathing problems. Anaplasmosis is treated with doxycycline in children and adults. .
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