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We describe a patient with African tick-bite fever who acquired his infection while visiting rural areas of South Africa and then became sick after returning to the United States. The dominant clinical feature of his illness was the presence of multiple, ulcerated lesions (tache noires). Physicians in the United States and other non-African countries who see travelers returning from southern parts of Africa who give a history of recent tick bite and/or present with multiple, crusted or vesicular skin lesions should be alert to this diagnosis and institute treatment with doxycycline.
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J. H. MCQUISTON, C. D. PADDOCK, J. SINGLETON JR., J. T. WHEELING, S. R. ZAKI, and J. E. CHILDS IMPORTED SPOTTED FEVER RICKETTSIOSES IN UNITED STATES TRAVELERS RETURNING FROM AFRICA: A SUMMARY OF CASES CONFIRMED BY LABORATORY TESTING AT THE CENTERS FOR DISEASE CONTROL AND PREVENTION, 1999-2002 Am J Trop Med Hyg, January 1, 2004; 70(1): 98 - 101. [Abstract] [Full Text] [PDF] |
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