Animals Involved
Rodents, shrews, other small mammals might be reservoirs (uncertain); affects monkeys; possible infections in other mammals, birds
Known Distributions
India
Probable Means of Spreading
Tick bites (especially Haemaphysalis spinigera, also others)
Clinical Manifestations in People
Nonspecific febrile illness; course may be biphasic; hemorrhagic signs (eg, ecchymoses, purpura, petechiae, GI bleeding, epistaxis) and/or neurologic signs possible in second stage; prolonged convalescence in many; case fatality rate ~3%