The classification of Rickettsia into three groups was initially based on serology. This grouping has since been confirmed by DNA sequencing. All three of these groups include human pathogens. The scrub typhus group has been reclassified as a related new genus, Orientia, but they still are in the order Rickettsiales and accordingly still are grouped with the rest of the rickettsial diseases. Rickettsias are more widespread than previously believed and are known to be associated with arthropods, leeches, and protists. Divisions have also been identified in the spotted fever group and this group likely should be divided into two clades. Arthropod-inhabiting rickettsiae are generally associated with reproductive manipulation to persist in host lineage In March 2010, Swedish researchers reported a case of bacterial meningitis in a woman caused by Rickettsia helvetica previously thought to be harmless.
Plant diseases have been associated with these Rickettsia-like organisms : Infection occurs in nonhuman mammals; for example, species of Rickettsia have been found to afflict the South Americanguanaco, Lama guanacoe.
Certain segments of rickettsial genomes resemble those of mitochondria. The deciphered genome of R. prowazekii is 1,111,523 bp long and contains 834 genes. Unlike free-living bacteria, it contains no genes for anaerobic glycolysis or genes involved in the biosynthesis and regulation of amino acids and nucleosides. In this regard, it is similar to mitochondrial genomes; in both cases, nuclear resources are used. ATP production in Rickettsia is the same as that in mitochondria. In fact, of all the microbes known, the Rickettsia is probably the closest relative to the mitochondria. Unlike the latter, the genome of R. prowazekii, however, contains a complete set of genes encoding for the tricarboxylic acid cycle and the respiratory chain complex. Still, the genomes of the Rickettsia, as well as the mitochondria, are frequently said to be "small, highly derived products of several types of reductive evolution". The recent discovery of another parallel between Rickettsia and viruses may become a basis for fighting HIV infection. Human immune response to the scrub typhus pathogen, Orientia tsutsugamushi, appears to provide a beneficial effect against HIV infection progress, negatively influencing the virus replication process. A probable reason for this actively studied phenomenon is a certain degree of homology between the rickettsiae and the virus, namely, common epitope due to common genome fragment in both pathogens. Surprisingly, the other infection reported to be likely to provide the same effect is the virus-caused illness dengue fever. Comparative analysis of genomic sequences have also identified five conserved signature indels in important proteins, which are uniquely found in members of the genus Rickettsia. These indels consist of a four-amino-acid insertion in transcription repair coupling factor Mfd, a 10-amino-acid insertion in ribosomal protein L19, a one-amino-acid insertion in FtsZ, a one-amino-acid insertion in major sigma factor 70, and a one-amino-acid deletion in exonuclease VII. These indels are all characteristic of the genus and serve as molecular markers for Rickettsia. Bacterial small RNAs play critical roles in virulence and stress/adaptation responses. Although their specific functions have not been discovered in Rickettsia, few studies showed the expression of novel sRNA in human microvascular endothelial cells infected with Rickettsia.