Haemel Anna K, Bearden Allison, Longley B Jack, Crnich Chistopher
University of California, San Francisco.
Dermatol Online J. 2013 Nov 15;19(11):20393.
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.
非洲蜱咬热（ATBF）是一种立克次体感染，对于从撒哈拉以南非洲或加勒比地区流行区返回的旅行者出现的发热，应考虑由该病引起。患者通常表现出类似流感的综合征，可能会出现一个或多个皮肤接种焦痂，这是诊断的关键。我们报告一例孕妇在前往斯威士兰旅行后发生非洲蜱咬热的病例。使用阿奇霉素和利福平进行有效的抗菌治疗后，她的症状迅速改善；她完全康复了。
