title: Black spots in the returning traveler.
abstract: African tick bite fever (ATBF) is a rickettsial infection that should be considered as the cause of fever in travelers returning from endemic regions of sub-Saharan Africa or the Caribbean. Patients typically present with a flu-like syndrome and may demonstrate one or more cutaneous inoculation eschars as a diagnostic key. We present a case of ATBF in a pregnant woman following her trip to Swaziland. Her symptoms rapidly improved with institution of effective antimicrobial treatment with azithromycin and rifampin; she made a full recovery.
authors: University of California, San Francisco.
authors: Anna K
authors: AK
authors: Haemel
authors: Allison
authors: A
authors: Bearden
authors: B Jack
authors: BJ
authors: Longley
authors: Chistopher
authors: C
authors: Crnich
mesh_terms: D000328:Adult; D013541:Eswatini; D005260:Female; D006801:Humans; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis / Q000382:microbiology*; D012282:Rickettsia Infections / Q000175:diagnosis / Q000382:microbiology*; D012871:Skin Diseases / Q000382:microbiology* / Q000473:pathology; D064927:Tick Bites / Q000150:complications*; D014195:Travel