Binder William D, Gupta Rajat
Alpert School of Medicine, Brown University, Department of Emergency Medicine, 125 Whipple Street, Providence, RI 02902.
Department of Cardiology, Brigham and Women's Hospital, Boston, Massachusetts.
J Emerg Med. 2015 May;48(5):562-5. doi: 10.1016/j.jemermed.2014.12.044. Epub 2015 Mar 17.
African tick bite fever (ATBF) is an emerging infection endemic to sub-Saharan Africa and increasingly noted in travelers to the region.
We present a case of ATBF in a 63-year-old man who presented with complaints of a rash and fever to the emergency department. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Rickettsial diseases are increasingly common and are seen on every continent except Antarctica. Many factors are contributing to their prevalence, and they have become the second most common cause of fever behind malaria in the traveler returning from Africa. Due to the global distribution of rickettsial diseases, as well as increasing international travel, emergency physicians might encounter ill and febrile travelers. A careful travel history and examination will enable the emergency physician to consider spotted fever group rickettsial diseases in their differential diagnosis for single and multiple eschars.
非洲蜱咬热（ATBF）是撒哈拉以南非洲地区特有的一种新出现的感染性疾病，在前往该地区的旅行者中越来越多地被发现。
我们报告一例63岁男性的非洲蜱咬热病例，该患者因皮疹和发热到急诊科就诊。为什么急诊医生应该了解这个病？：立克次体病越来越常见，除南极洲外各大洲均有发现。多种因素导致其流行，在从非洲返回的旅行者中，立克次体病已成为仅次于疟疾的第二大常见发热原因。由于立克次体病的全球分布以及国际旅行的增加，急诊医生可能会遇到患病发热的旅行者。仔细的旅行史询问和体格检查将使急诊医生在对单发和多发焦痂进行鉴别诊断时考虑斑点热群立克次体病。
