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Open Access Publications from the University of California

Black spots in the returning traveler

  • Author(s): Haemel, Anna K
  • Bearden, Allison
  • Longley, B Jack
  • Crnich, Chistopher
  • et al.
Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Public License

African tick bite fever (ATBF) is a rickettsial infection that should be considered as the cause of fever in travelers returning from endemic regions of sub-Saharan Africa or the Caribbean. Patients typically present with a flu-like syndrome and may demonstrate one or more cutaneous inoculation eschars as a diagnostic key. We present a case of ATBF in a pregnant woman following her trip to Swaziland. Her symptoms rapidly improved with institution of effective antimicrobial treatment with azithromycin and rifampin; she made a full recovery.

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