Sexton D J, Corey G R, Greenfield J C, Burton C S, Raoult D
Department of Medicine, Duke University Medical Center, Durham, North Carolina 27710, USA.
Am J Trop Med Hyg. 1999 May;60(5):865-7. doi: 10.4269/ajtmh.1999.60.865.
We describe a patient with African tick-bite fever who acquired his infection while visiting rural areas of South Africa and then became sick after returning to the United States. The dominant clinical feature of his illness was the presence of multiple, ulcerated lesions (tache noires). Physicians in the United States and other non-African countries who see travelers returning from southern parts of Africa who give a history of recent tick bite and/or present with multiple, crusted or vesicular skin lesions should be alert to this diagnosis and institute treatment with doxycycline.
我们描述了一名患非洲蜱咬热的患者，他在访问南非农村地区时感染了这种疾病，回到美国后发病。其疾病的主要临床特征是出现多个溃疡病灶（黑色斑点）。在美国和其他非非洲国家，医生若见到从非洲南部归来的旅行者，他们有近期蜱叮咬史和/或出现多个结痂或水疱性皮肤病变，应警惕这一诊断并采用多西环素进行治疗。
