<unk>  is caused by<unk><unk> , a type of Thogotovirus, which belongs to Orthomyxoviridae family. A tick bite is usually responsible for<unk> . The<unk>  is transmitted by arthropods like tics and replicates in both arthropods and vertebrate hosts.<unk>  must be differentiated from other diseases that may cause arthralgia, fever, and skin manifestations with the history of exposure to ticks. Only 5 cases of<unk>  have been confirmed in the United States since its disovery in 2014. The most potent risk factor in the development of<unk>  is a tick bite. Other risk factors include traveling, residing or working in the endemic regions will increase chances of infection. If left untreated patients with<unk> , may develop hemophagocytic lymphohistiocytosis and eventually death. Complications that can develop as a result of<unk>  are meningitis, encephalitis and multiorgan failure. A detailed history and physical exam is very helpful in the diagnosis of<unk> . Infected individuals are treated with symptomatic therapy since a specific treatment has not yet been established. Preventing bites from ticks and other insects is the is helpful in the prevention of<unk> .
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Tick borne encephalitis
St. Louis encephalitis