ArticleASM case reports2025
Another traveler's tale: African tick-bite fever.
Article in ASM case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: In the present report, we discuss the clinical and species-specific diagnosis of African tick-bite fever. Case Summary: A 58-year-old man was admitted to the hospital for fever, headache, and myalgia. The clinical examination yielded only two small purpuric lesions with a dark center on the thigh and the abdomen. The patient reported that he had just returned from a 10-day trip to the eastern region of South Africa, and that he had hiked through the bush in Eswatini 7 days before the onset of fever. The white blood cell count showed lymphopenia, and the C reactive protein and alanine aminotransferase levels were mildly elevated. The diagnoses of bacteremia, malaria, COVID 19, and arboviruses were ruled out. Both the diagnoses of African tick-bite fever and Mediterranean spotted fever were plausible because both Conclusion: Numerous necrotic eschars without secondary maculopapular rash affecting the sole and palms are more commonly observed in African tick-bite fever than in Mediterranean spotted fever.
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