ArticleOne health (Amsterdam, Netherlands)2026
Beyond the eschar: African tick-bite fever in a returning traveller - a diagnostic and public health consideration in Europe.
Article in One health (Amsterdam, Netherlands), 2026. 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: African tick-bite fever (ATBF), caused by Case presentation: report a 48-year-old woman presenting with fever, headache, myalgia, abdominal pain, and multiple eschars after a 9-day trip to South Africa. Clinical examination revealed fever (38.5 °C), tender inguinal lymphadenopathy, and a maculopapular rash. Laboratory findings showed elevated C-reactive protein (45.4 mg/L) and mild monocytosis. Molecular analysis of eschar samples detected Discussion: ATBF remains underrecognized outside endemic regions despite being a leading cause of fever in travellers returning from sub-Saharan Africa. Its vectors, Conclusions: This case illustrates the typical clinical presentation and diagnostic approach to ATBF in a European traveller. Although it represents an imported travel-associated infection rather than evidence of local transmission, it underscores the importance of clinical awareness and integrated surveillance within a One Health framework.
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