Imported African tick bite fever: A case report

We describe a patient with African tick-bite fever who acquired his infecti on while visiting rural areas of South Africa and then became sick after re turning 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 retu rning 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 a lert to this diagnosis and institute treatment with doxycycline.