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Black spots in the returning traveler.
Anna K Haemel1, Allison Bearden, B Jack Longley
1University of California, San Francisco.
Dermatology Online Journal
|December 10, 2013
Summary
African tick bite fever (ATBF) is a rickettsial illness causing fever in travelers. Early diagnosis and treatment with azithromycin and rifampin led to a pregnant woman's full recovery.
Area of Science:
- Infectious Diseases
- Tropical Medicine
- Rickettsial Infections
Background:
- African tick bite fever (ATBF) is a significant rickettsial infection prevalent in sub-Saharan Africa and the Caribbean.
- Fever in returning travelers necessitates considering ATBF, especially with exposure to endemic areas.
Observation:
- A case of ATBF is presented in a pregnant woman returning from Swaziland.
- The patient exhibited a flu-like syndrome, a common presentation of ATBF.
Findings:
- Cutaneous inoculation eschars were noted as a key diagnostic feature.
- Prompt antimicrobial treatment with azithromycin and rifampin resulted in rapid symptom improvement.
Implications:
- This case highlights the importance of considering ATBF in febrile travelers from endemic regions.
- Effective treatment with azithromycin and rifampin ensures favorable outcomes, even in pregnant patients.
- Early recognition and management are crucial for preventing complications of ATBF.
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