Neorickettsia risticii, formerly Ehrlichia risticii, is an obligate intracellular gram negative bacteria that typically lives as an endosymbiont in parasitic flatworms, specifically flukes.[1]N. risticii is the known causative agent of equine neorickettsiosis (also known as Potomac horse fever (PHF)),[2] which gets its name from its discovery near the Potomac River in Maryland and Virginia.[3]N. risticii was first recovered from horses in this region in 1984 but was not recognized as the causative agent of PHF until 1979.[3] Potomac horse fever is currently endemic in the United States but has also been reported with lower frequency in other regions, including Canada, Brazil, Uruguay, and Europe.[4] PHF is a condition that is clinically important for horses since it can cause serious signs such as fever, diarrhea, colic, and laminitis.[5] PHF has a fatality rate of approximately 30%, making this condition one of the concerns for horse owners in endemic regions[5]N. risticii is typically acquired in the middle to late summer near freshwater streams or rivers, as well as on irrigated pastures.[6] This is a seasonal infection because it relies on the ingestion of an arthropod vector, which is more commonly found on pasture in the summer months.[7] Although N. risticii is a well known causative agent for PHF in horses, it may act as a potential pathogen in cats and dogs as well.[8] Not only has N. risticii been successfully cultured from monocytes of dogs and cats,[6] but cats have become clinically ill after experimental infection with the bacteria.[9] In addition, N. risticii has been isolated and cultured from human histiocytic lymphoma cells.[6]