EP is primarily transmitted by ticks of the genera Dermacentor,
Hyalomma, and Rhipicephalus [1,2], although iatrogenic and intrauterine
transmission of the parasite has also been documented [3]. Depending
on the severity of the infection, disease manifestations range from decreased
physical performance to death [4,5]. EP is endemic in most tropical
and subtropical regions worldwide, although it can also be found in
temperate regions