ous ▁species ▁of ▁t icks . ▁The ▁I x odes ▁tick ▁that ▁commonly ▁transm its ▁L yme ▁disease ▁also ▁spread s ▁an ap las mos is . ▁ ▁Trans mission ▁ ▁An ap las mos is ▁is ▁class ified ▁as ▁a ▁tick - bor ne ▁disease . ▁It ▁can ▁be ▁contract ed ▁from ▁tick ▁bit es ▁which ▁contain ▁An ap las ma ▁ph ag oc yt oph il um . ▁The ▁most ▁common ▁tick ▁that ▁car ries ▁the ▁b acter ium ▁is ▁I x odes ▁sc ap ular is , ▁also ▁known ▁as ▁the ▁black - leg ged ▁tick ▁or ▁the ▁de er ▁tick . ▁▁ ▁An ap las mos is ▁can ▁also ▁be ▁contract ed ▁from ▁blood ▁trans f us ions , ▁as ▁well ▁as ▁using ▁surg ical , ▁de hor ning , ▁cas tr ation , ▁and ▁t atto o ▁instruments ▁and ▁hyp od erm ic ▁need les ▁that ▁are ▁not ▁dis in fect ed ▁between ▁uses . ▁ ▁Sign s ▁and ▁sympt oms ▁Classic ▁signs ▁and ▁sympt oms ▁of ▁an ap las mos is ▁include ▁fe ver , ▁a ▁decre ased ▁number ▁of ▁white ▁blood ▁cells , ▁plate lets ▁in ▁the ▁blood stream , ▁and ▁ab norm ally ▁elev ated ▁levels ▁of ▁li ver ▁en zym es . ▁The ▁er yth ema ▁chron icum ▁migr ans ▁r ash ▁may ▁be ▁seen ▁with ▁an ap las mos is ▁as ▁it ▁is ▁co - trans m itted ▁in ▁ 1 0 % ▁of ▁L yme ▁disease ▁cases . ▁ ▁An emia ▁may