{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T20:10:09Z","timestamp":1789157409673,"version":"build-2803163510"},"reference-count":69,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","theclinics.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Emergency Medicine Clinics of North America"],"published-print":{"date-parts":[[2024,8]]},"DOI":"10.1016\/j.emc.2024.02.018","type":"journal-article","created":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T22:11:40Z","timestamp":1710886300000},"page":"597-611","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"title":["Tick-Borne Illnesses in Emergency and Wilderness Medicine"],"prefix":"10.1016","volume":"42","author":[{"given":"Michael D.","family":"Sullivan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyle","family":"Glose","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas","family":"Sward","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"6","key":"10.1016\/j.emc.2024.02.018_bib1","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1099\/jmm.0.001206","article-title":"Emerging tick-borne pathogens of public health importance: a mini-review","volume":"69","author":"Rochlin","year":"2020","journal-title":"J\u00a0Med Microbiol"},{"issue":"4","key":"10.1016\/j.emc.2024.02.018_bib2","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1016\/j.wem.2020.06.011","article-title":"Emerging tickborne viral infections: what wilderness medicine providers need to know","volume":"31","author":"Diaz","year":"2020","journal-title":"Wilderness Environ Med"},{"issue":"3","key":"10.1016\/j.emc.2024.02.018_bib3","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1093\/ilar\/ilx005","article-title":"Tick-borne zoonoses in the united states: persistent and emerging threats to human health","volume":"58","author":"Eisen","year":"2017","journal-title":"ILAR J"},{"issue":"3","key":"10.1016\/j.emc.2024.02.018_bib4","doi-asserted-by":"crossref","first-page":"225","DOI":"10.3390\/insects12030225","article-title":"Likely geographic distributional shifts among medically important tick species and tick-associated diseases under climate change in north america: a review","volume":"12","author":"Alkishe","year":"2021","journal-title":"Insects"},{"key":"10.1016\/j.emc.2024.02.018_bib5","doi-asserted-by":"crossref","first-page":"666554","DOI":"10.3389\/fmed.2021.666554","article-title":"Recent progress in lyme disease and remaining challenges","volume":"8","author":"Bobe","year":"2021","journal-title":"Front Med"},{"issue":"4","key":"10.1016\/j.emc.2024.02.018_bib6","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1016\/j.wem.2015.05.001","article-title":"Lyme disease: what the wilderness provider needs to know","volume":"26","author":"Forrester","year":"2015","journal-title":"Wilderness Environ Med"},{"issue":"9814","key":"10.1016\/j.emc.2024.02.018_bib7","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1016\/S0140-6736(11)60103-7","article-title":"Lyme borreliosis","volume":"379","author":"Stanek","year":"2012","journal-title":"Lancet"},{"key":"10.1016\/j.emc.2024.02.018_bib8","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/j.semcdb.2016.07.002","article-title":"Infection resistance and tolerance in Peromyscus spp., natural reservoirs of microbes that are virulent for humans","volume":"61","author":"Barbour","year":"2017","journal-title":"Semin Cell Dev Biol"},{"issue":"6","key":"10.1016\/j.emc.2024.02.018_bib9","doi-asserted-by":"crossref","first-page":"815","DOI":"10.1016\/j.jemermed.2017.01.022","article-title":"Lyme disease: emergency department considerations","volume":"52","author":"Applegren","year":"2017","journal-title":"J\u00a0Emerg Med"},{"key":"10.1016\/j.emc.2024.02.018_bib10","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/j.visj.2018.09.019","article-title":"Erythema migrans in a healthy female","volume":"13","author":"Schell","year":"2018","journal-title":"Vis J Emerg Med"},{"issue":"2","key":"10.1016\/j.emc.2024.02.018_bib11","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1007\/s10096-018-3417-1","article-title":"Clinical spectrum of lyme disease","volume":"38","author":"Cardenas-de la Garza","year":"2019","journal-title":"Eur J Clin Microbiol Infect Dis"},{"key":"10.1016\/j.emc.2024.02.018_bib12","first-page":"333","article-title":"Lyme disease in humans","volume":"42","author":"Radolf","year":"2021","journal-title":"Curr Issues Mol Biol"},{"issue":"3","key":"10.1016\/j.emc.2024.02.018_bib13","doi-asserted-by":"crossref","first-page":"222","DOI":"10.7326\/L19-0483","article-title":"Fatal lyme carditis in new england: two case reports","volume":"172","author":"Marx","year":"2020","journal-title":"Ann Intern Med"},{"issue":"2","key":"10.1016\/j.emc.2024.02.018_bib14","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1016\/j.idc.2015.02.004","article-title":"5. Diagnosis and treatment of lyme arthritis","volume":"29","author":"Arvikar","year":"2015","journal-title":"Infect Dis Clin North Am"},{"issue":"3","key":"10.1016\/j.emc.2024.02.018_bib15","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1093\/femsre\/fux047","article-title":"Lyme borreliosis\u2013from tick bite to diagnosis and treatment","volume":"42","author":"Stanek","year":"2018","journal-title":"FEMS Microbiol Rev"},{"issue":"2","key":"10.1016\/j.emc.2024.02.018_bib16","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1016\/j.idc.2015.02.006","article-title":"Chronic lyme disease","volume":"29","author":"Lantos","year":"2015","journal-title":"Infect Dis Clin North Am"},{"issue":"3","key":"10.1016\/j.emc.2024.02.018_bib17","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1086\/654808","article-title":"Death due to community-associated clostridium difficile in a woman receiving prolonged antibiotic therapy for suspected lyme disease","volume":"51","author":"Holzbauer","year":"2010","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.emc.2024.02.018_bib18","doi-asserted-by":"crossref","DOI":"10.15585\/mmwr.mm6832a4","article-title":"Updated CDC recommendation for serologic diagnosis of lyme disease","volume":"68","author":"Mead","year":"2019","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"1","key":"10.1016\/j.emc.2024.02.018_bib19","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1093\/cid\/ciaa1215","article-title":"Clinical Practice Guidelines by the Infectious Diseases Society of America (IDSA), American Academy of Neurology (AAN), and American College of Rheumatology (ACR): 2020 Guidelines for the Prevention, Diagnosis and Treatment of Lyme Disease","volume":"72","author":"Lantos","year":"2021","journal-title":"Clin Infect Dis"},{"issue":"4","key":"10.1016\/j.emc.2024.02.018_bib20","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1093\/infdis\/44.4.257","article-title":"Rocky mountain spotted fever","volume":"44","author":"Spencer","year":"1929","journal-title":"J\u00a0Infect Dis"},{"issue":"2","key":"10.1016\/j.emc.2024.02.018_bib21","doi-asserted-by":"crossref","first-page":"114","DOI":"10.4103\/0972-9062.310863","article-title":"Clinical characteristics of rocky mountain spotted fever in the united states: a literature review","volume":"57","author":"Jay","year":"2020","journal-title":"J\u00a0Vector Borne Dis"},{"issue":"1","key":"10.1016\/j.emc.2024.02.018_bib22","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/j.jemermed.2018.02.043","article-title":"The evaluation and management of rocky mountain spotted fever in the emergency department: a review of the literature","volume":"55","author":"Gottlieb","year":"2018","journal-title":"J\u00a0Emerg Med"},{"issue":"6","key":"10.1016\/j.emc.2024.02.018_bib23","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1016\/j.disamonth.2012.03.008","article-title":"Rocky mountain spotted fever","volume":"58","author":"Lin","year":"2012","journal-title":"Dis Mon"},{"issue":"1","key":"10.1016\/j.emc.2024.02.018_bib24","doi-asserted-by":"crossref","first-page":"2","DOI":"10.3390\/tropicalmed3010002","article-title":"Suspected and confirmed vector-borne rickettsioses of north america associated with human diseases","volume":"3","author":"Hardstone Yoshimizu","year":"2018","journal-title":"Trop Med Infect Dis"},{"issue":"Suppl 2","key":"10.1016\/j.emc.2024.02.018_bib25","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1111\/j.1863-2378.2012.01472.x","article-title":"Spotted fever group rickettsiae: a brief review and a Canadian perspective","volume":"59","author":"Wood","year":"2012","journal-title":"Zoonoses Public Health"},{"key":"10.1016\/j.emc.2024.02.018_bib26","article-title":"Diagnosis and management of tickborne rickettsial diseases: rocky mountain spotted fever and other spotted fever group rickettsioses, ehrlichioses, and Anaplasmosis \u2014 United States","volume":"65","author":"Biggs","year":"2016","journal-title":"MMWR Recomm Rep (Morb Mortal Wkly Rep)"},{"issue":"5","key":"10.1016\/j.emc.2024.02.018_bib27","doi-asserted-by":"crossref","first-page":"1122","DOI":"10.1093\/clinids\/20.5.1122","article-title":"Long-Term Sequelae of Rocky Mountain Spotted Fever","volume":"20","author":"Archibald","year":"1995","journal-title":"Clin Infect Dis"},{"issue":"11","key":"10.1016\/j.emc.2024.02.018_bib28","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1016\/S1473-3099(07)70261-X","article-title":"Rocky mountain spotted fever","volume":"7","author":"Dantas-Torres","year":"2007","journal-title":"Lancet Infect Dis"},{"issue":"5","key":"10.1016\/j.emc.2024.02.018_bib29","doi-asserted-by":"crossref","first-page":"1118","DOI":"10.1093\/clinids\/20.5.1118","article-title":"Therapeutic delay and mortality in cases of rocky mountain spotted fever","volume":"20","author":"Kirkland","year":"1995","journal-title":"Clin Infect Dis"},{"issue":"5","key":"10.1016\/j.emc.2024.02.018_bib30","doi-asserted-by":"crossref","first-page":"1246","DOI":"10.1016\/j.jpeds.2015.02.015","article-title":"No visible dental staining in children treated with doxycycline for suspected rocky mountain spotted fever","volume":"166","author":"Todd","year":"2015","journal-title":"J\u00a0Pediatr"},{"issue":"2","key":"10.1016\/j.emc.2024.02.018_bib31","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1016\/j.idc.2015.02.007","article-title":"Human granulocytic anaplasmosis","volume":"29","author":"Bakken","year":"2015","journal-title":"Infect Dis Clin North Am"},{"issue":"18","key":"10.1016\/j.emc.2024.02.018_bib32","doi-asserted-by":"crossref","first-page":"2263","DOI":"10.1001\/jama.292.18.2263","article-title":"Human monocytic ehrlichiosis","volume":"292","author":"Stone","year":"2004","journal-title":"JAMA"},{"issue":"5","key":"10.1016\/j.emc.2024.02.018_bib33","doi-asserted-by":"crossref","first-page":"1102","DOI":"10.1093\/clinids\/20.5.1102","article-title":"Ehrlichial diseases of humans: emerging tick-borne infections","volume":"20","author":"Dumler","year":"1995","journal-title":"Clin Infect Dis"},{"issue":"5","key":"10.1016\/j.emc.2024.02.018_bib34","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1056\/NEJMoa1010493","article-title":"Emergence of a new pathogenic ehrlichia species, Wisconsin and Minnesota, 2009","volume":"365","author":"Pritt","year":"2011","journal-title":"N\u00a0Engl J Med"},{"issue":"6","key":"10.1016\/j.emc.2024.02.018_bib35","doi-asserted-by":"crossref","first-page":"2145","DOI":"10.1099\/00207713-51-6-2145","volume":"51","author":"Dumler","year":"2001","journal-title":"Int J Syst Evol Microbiol"},{"issue":"5","key":"10.1016\/j.emc.2024.02.018_bib37","first-page":"891","article-title":"Clinical manifestations, epidemiology, and laboratory diagnosis of human monocytotropic ehrlichiosis in a commercial laboratory setting","volume":"10","author":"Olano","year":"2003","journal-title":"Clin Diagn Lab Immunol"},{"issue":"1","key":"10.1016\/j.emc.2024.02.018_bib38","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/j.cll.2009.10.004","article-title":"Human ehrlichiosis and anaplasmosis","volume":"30","author":"Ismail","year":"2010","journal-title":"Clin Lab Med"},{"issue":"12","key":"10.1016\/j.emc.2024.02.018_bib39","doi-asserted-by":"crossref","first-page":"1579","DOI":"10.3201\/eid0912.020733","article-title":"Human monocytotropic ehrlichiosis, Missouri","volume":"9","author":"Olano","year":"2003","journal-title":"Emerg Infect Dis"},{"issue":"1","key":"10.1016\/j.emc.2024.02.018_bib40","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1128\/CMR.16.1.37-64.2003","article-title":"Ehrlichia chaffeensis: a prototypical emerging pathogen","volume":"16","author":"Paddock","year":"2003","journal-title":"Clin Microbiol Rev"},{"issue":"21","key":"10.1016\/j.emc.2024.02.018_bib41","doi-asserted-by":"crossref","first-page":"2023","DOI":"10.1056\/NEJMcpc1712227","article-title":"Case 16-2018: a 45-year-old man with fever, thrombocytopenia, and elevated aminotransferase levels","volume":"378","author":"Kobayashi","year":"2018","journal-title":"N\u00a0Engl J Med"},{"issue":"13","key":"10.1016\/j.emc.2024.02.018_bib42","doi-asserted-by":"crossref","first-page":"1258","DOI":"10.1056\/NEJMcpc1916250","article-title":"Case 10-2020: An 83-year-old man with pancytopenia and acute renal failure","volume":"382","author":"Sykes","year":"2020","journal-title":"N\u00a0Engl J Med"},{"issue":"5","key":"10.1016\/j.emc.2024.02.018_bib43","doi-asserted-by":"crossref","first-page":"ofad213","DOI":"10.1093\/ofid\/ofad213","article-title":"Anaplasmosis-induced hemophagocytic lymphohistiocytosis: a case report and review of the literature","volume":"10","author":"Scribner","year":"2023","journal-title":"Open Forum Infect Dis"},{"issue":"9","key":"10.1016\/j.emc.2024.02.018_bib44","doi-asserted-by":"crossref","first-page":"1089","DOI":"10.1086\/508667","article-title":"The clinical assessment, treatment, and prevention of lyme disease, human granulocytic anaplasmosis, and babesiosis: clinical practice guidelines by the infectious diseases society of America","volume":"43","author":"Wormser","year":"2006","journal-title":"Clin Infect Dis"},{"issue":"3","key":"10.1016\/j.emc.2024.02.018_bib45","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1016\/j.idc.2022.02.009","article-title":"Human babesiosis","volume":"36","author":"Waked","year":"2022","journal-title":"Infect Dis Clin North Am"},{"issue":"1","key":"10.1016\/j.emc.2024.02.018_bib46","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/j.pt.2015.09.008","article-title":"Coinfection by ixodes tick-borne pathogens: ecological, epidemiological, and clinical consequences","volume":"32","author":"Diuk-Wasser","year":"2016","journal-title":"Trends Parasitol"},{"issue":"12\u201313","key":"10.1016\/j.emc.2024.02.018_bib47","doi-asserted-by":"crossref","first-page":"1323","DOI":"10.1016\/S0020-7519(00)00137-5","article-title":"Human babesiosis: an emerging tick-borne disease","volume":"30","author":"Kjemtrup","year":"2000","journal-title":"Int J Parasitol"},{"issue":"7","key":"10.1016\/j.emc.2024.02.018_bib48","doi-asserted-by":"crossref","first-page":"1212","DOI":"10.1093\/cid\/ciy1060","article-title":"Babesiosis-associated Splenic Rupture: Case Series From a Hyperendemic Region","volume":"69","author":"Patel","year":"2019","journal-title":"Clin Infect Dis"},{"issue":"6","key":"10.1016\/j.emc.2024.02.018_bib49","doi-asserted-by":"crossref","first-page":"1177","DOI":"10.1128\/CDLI.8.6.1177-1180.2001","article-title":"Diagnosis of babesiosis using an immunoblot serologic test","volume":"8","author":"Ryan","year":"2001","journal-title":"Clin Diagn Lab Immunol"},{"issue":"3","key":"10.1016\/j.emc.2024.02.018_bib50","doi-asserted-by":"crossref","first-page":"903","DOI":"10.1128\/JCM.05848-11","article-title":"A\u00a0new real-time PCR assay for improved detection of the parasite Babesia microti","volume":"50","author":"Teal","year":"2012","journal-title":"J\u00a0Clin Microbiol"},{"issue":"20","key":"10.1016\/j.emc.2024.02.018_bib51","doi-asserted-by":"crossref","first-page":"1454","DOI":"10.1056\/NEJM200011163432004","article-title":"Atovaquone and azithromycin for the treatment of babesiosis","volume":"343","author":"Krause","year":"2000","journal-title":"N\u00a0Engl J Med"},{"issue":"2","key":"10.1016\/j.emc.2024.02.018_bib52","doi-asserted-by":"crossref","first-page":"e49","DOI":"10.1093\/cid\/ciaa1216","article-title":"Clinical practice guidelines by the infectious diseases society of america (IDSA): 2020 guideline on diagnosis and management of babesiosis","volume":"72","author":"Krause","year":"2021","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.emc.2024.02.018_bib54","doi-asserted-by":"crossref","first-page":"512090","DOI":"10.3389\/fcimb.2020.512090","article-title":"Francisella tularensis, tularemia and serological diagnosis","volume":"10","author":"Maurin","year":"2020","journal-title":"Front Cell Infect Microbiol"},{"issue":"2","key":"10.1016\/j.emc.2024.02.018_bib55","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1086\/321825","article-title":"Ciprofloxacin for treatment of tularemia","volume":"33","author":"Johansson","year":"2001","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.emc.2024.02.018_bib56","unstructured":"World Health Organization. WHO guidelines on tularaemia. 2007:115."},{"issue":"1\u20132","key":"10.1016\/j.emc.2024.02.018_bib57","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/S0166-3542(02)00206-1","article-title":"Tick-borne encephalitis","volume":"57","author":"Gritsun","year":"2003","journal-title":"Antiviral Res"},{"issue":"7","key":"10.1016\/j.emc.2024.02.018_bib58","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1089\/vbz.2017.2110","article-title":"Powassan virus: an emerging arbovirus of public health concern in North America","volume":"17","author":"Hermance","year":"2017","journal-title":"Vector Borne Zoonotic Dis Larchmt N"},{"issue":"3","key":"10.1016\/j.emc.2024.02.018_bib59","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1016\/j.idc.2022.03.003","article-title":"Powassan virus encephalitis","volume":"36","author":"Piantadosi","year":"2022","journal-title":"Infect Dis Clin North Am"},{"key":"10.1016\/j.emc.2024.02.018_bib60","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1186\/1756-0500-5-594","article-title":"Powassan virus infection: case series and literature review from a single institution","volume":"5","author":"Raval","year":"2012","journal-title":"BMC Res Notes"},{"issue":"2","key":"10.1016\/j.emc.2024.02.018_bib61","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1016\/j.jaci.2008.10.052","article-title":"Delayed anaphylaxis, angioedema, or urticaria after consumption of red meat in patients with IgE antibodies specific for galactose-\u03b1-1,3-galactose","volume":"123","author":"Commins","year":"2009","journal-title":"J\u00a0Allergy Clin Immunol"},{"issue":"3","key":"10.1016\/j.emc.2024.02.018_bib62","doi-asserted-by":"crossref","first-page":"101674","DOI":"10.1016\/j.ttbdis.2021.101674","article-title":"Tick exposures and alpha-gal syndrome: a systematic review of the evidence","volume":"12","author":"Young","year":"2021","journal-title":"Ticks Tick-Borne Dis."},{"issue":"30","key":"10.1016\/j.emc.2024.02.018_bib63","doi-asserted-by":"crossref","first-page":"815","DOI":"10.15585\/mmwr.mm7230a2","article-title":"Geographic distribution of suspected alpha-gal syndrome cases \u2014 United States, January 2017\u2013December 2022","volume":"72","author":"Thompson","year":"2023","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"7","key":"10.1016\/j.emc.2024.02.018_bib64","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1080\/1744666X.2020.1782745","article-title":"Diagnosis & management of alpha-gal syndrome: lessons from 2,500 patients","volume":"16","author":"Commins","year":"2020","journal-title":"Expert Rev Clin Immunol"},{"issue":"4","key":"10.1016\/j.emc.2024.02.018_bib65","doi-asserted-by":"crossref","first-page":"101944","DOI":"10.1016\/j.ttbdis.2022.101944","article-title":"Personal protection measures to prevent tick bites in the United States: Knowledge gaps, challenges, and opportunities","volume":"13","author":"Eisen","year":"2022","journal-title":"Ticks Tick-Borne Dis"},{"issue":"6","key":"10.1016\/j.emc.2024.02.018_bib66","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1093\/aesa\/saaa013","article-title":"Questing by tick larvae (acari: ixodidae): a review of the influences that affect off-host survival","volume":"113","author":"Leal","year":"2020","journal-title":"Ann Entomol Soc Am"},{"issue":"3","key":"10.1016\/j.emc.2024.02.018_bib67","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1093\/jmedent\/36.3.361","article-title":"Attachment sites of four tick species (acari: ixodidae) parasitizing humans in georgia and south carolina","volume":"36","author":"Felz","year":"1999","journal-title":"J\u00a0Med Entomol"},{"key":"10.1016\/j.emc.2024.02.018_bib68","series-title":"Preventing tick bites on people","year":"2020"},{"key":"10.1016\/j.emc.2024.02.018_bib69","first-page":"tjw103","author":"Eisen","year":"2016","journal-title":"J\u00a0Med Entomol"},{"issue":"3","key":"10.1016\/j.emc.2024.02.018_bib70","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1007\/s40138-019-00187-0","article-title":"Tick-borne illness for emergency medicine providers","volume":"7","author":"Garber","year":"2019","journal-title":"Curr Emerg Hosp Med Rep"},{"key":"10.1016\/j.emc.2024.02.018_bib71","author":"Tick"}],"container-title":["Emergency Medicine Clinics of North America"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0733862724000233?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0733862724000233?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,2,12]],"date-time":"2025-02-12T23:42:36Z","timestamp":1739403756000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0733862724000233"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8]]},"references-count":69,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["S0733862724000233"],"URL":"https:\/\/doi.org\/10.1016\/j.emc.2024.02.018","relation":{},"ISSN":["0733-8627"],"issn-type":[{"value":"0733-8627","type":"print"}],"subject":[],"published":{"date-parts":[[2024,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Tick-Borne Illnesses in Emergency and Wilderness Medicine","name":"articletitle","label":"Article Title"},{"value":"Emergency Medicine Clinics of North America","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.emc.2024.02.018","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}