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African tick bite fever – Papulovesicular exanthem with fever after staying in South Africa
Author(s) -
Schuster Jan,
TantchevaPoor Iliana,
Wickenhauser Claudia,
Chemnitz JensMarcus,
Hunzelmann Nicolas,
Krieg Thomas,
Hartmann Karin
Publication year - 2008
Publication title -
jddg: journal der deutschen dermatologischen gesellschaft
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 60
eISSN - 1610-0387
pISSN - 1610-0379
DOI - 10.1111/j.1610-0387.2007.006435.x
Subject(s) - eschar , spotted fever , exanthem , tick , doxycycline , rickettsia , rickettsiosis , hyalomma , medicine , amblyomma , rocky mountain spotted fever , virology , ixodidae , biology , dermatology , pathology , microbiology and biotechnology , virus , antibiotics
Summary In the wake of expanding international tourism, rickettsioses are increasingly observed also in central Europe. African tick bite fever is a recently described, acute febrile illness with characteristic skin lesions.It is caused by Rickettsia africae , which is transmitted to humans by ticks of the Amblyomma genus. A 60‐year‐old woman presented with a papulovesic‐ular exanthem, fever, and headache after returning from South Africa. A purple nodule with central necrosis (“tache noire”or “inoculation eschar”) was noticed on the lower leg. Antibodies against rickettsia of the spotted fever group were detected serologically. Oral doxycycline led to clearance of the disease after few days of treatment.