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(causes epidemic louse-borne typhus), and Rickettsia africae. It can impair the cranial nerves, cause paralysis to the eyes, and sudden hearing loss. Meningoencephalitis is a rare, late-stage manifestation of tick-borne ricksettial diseases, such as RMSF and human monocytotropic ehrlichiosis (HME), caused by Ehrlichia chaffeensis

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