title: [African tick bite fever--rickettsiosis after holiday in South Africa].
abstract: METHODS
  A 61-year-old female patient presented with multiple tick bites. Some of them turned into skin ulcera. The patient acquired the tick bites during a stay in South Africa for several weeks. EXAMINATIONS AND DIAGNOSIS: According to the history and typical skin manifestations, a tick borne infection (rickettsiosis) was diagnosed and serologically confirmed.
  
  
  METHODS
  The empiric treatment with doxycycline resulted in a fast regression of the skin ulcera.
  
  
  CONCLUSIONS
  Rickettsial infections can be diagnosed in the presence of typical skin manifestations (eschar andor centripedal exanthema) and after an appropriate history of travel. In such cases, empiric treatment with tetracyclines can be performed.
authors.affiliation: Abteilung für Gastroenterologie, Hepatologie und Infektiologie, Klinik für Innere Medizin II, Universitätsklinikum Jena/Friedrich-Schiller-Universität Jena, Jena, Germany.
authors.forename: B T
authors.initials: BT
authors.lastname: Schleenvoigt
authors.forename: P
authors.initials: P
authors.lastname: Keller
authors.forename: A
authors.initials: A
authors.lastname: Stallmach
authors.forename: M W
authors.initials: MW
authors.lastname: Pletz
mesh_terms: D000818:Animals; D001733:Bites and Stings / Q000150:complications*; D001907:Boutonneuse Fever / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D005335:Fever of Unknown Origin / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D020114:Rickettsia conorii; D013019:South Africa; D013987:Ticks; D014195:Travel