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African tick-bite fever in a returning traveler
William D Binder1, Rajat Gupta2
1Alpert School of Medicine, Brown University, Department of Emergency Medicine, 125 Whipple Street, Providence, RI 02902.
The Journal of Emergency Medicine
|March 22, 2015
Summary
African tick bite fever (ATBF) is an emerging infection. Emergency physicians should consider ATBF in febrile travelers returning from Africa, as it is a common cause of fever.
Area of Science:
- Infectious Diseases
- Travel Medicine
- Dermatology
Background:
- African tick bite fever (ATBF) is an emerging infectious disease prevalent in sub-Saharan Africa.
- Increasing international travel leads to more cases diagnosed outside endemic areas.
Observation:
- A case of ATBF is presented in a 63-year-old male with rash and fever.
- Rickettsial diseases are globally distributed and are the second most common cause of fever in travelers returning from Africa.
Findings:
- Emergency physicians must be aware of rickettsial diseases due to their increasing prevalence.
- A thorough travel history and physical examination are crucial for diagnosing spotted fever group rickettsial diseases.
Implications:
- Early recognition and diagnosis of ATBF are essential for appropriate patient management.
- Awareness of ATBF aids emergency physicians in evaluating febrile travelers and considering eschars in differential diagnoses.
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