Unusual location of an inoculation lesion in a traveler with African tick-bite fever returning from South Africa

J Travel Med. 2009 Nov-Dec;16(6):439-40. doi: 10.1111/j.1708-8305.2009.00370.x.

Abstract

African tick-bite fever is a common tick-borne rickettsiosis in sub-Saharan Africa. It is an acute febrile illness associated with one (or more) inoculation eschar, an inconstant eruption, and local lymphadenopathies. We describe the first case of mucosal inoculation lesion on the vulva in a female traveler returning from South Africa.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-Bacterial Agents / administration & dosage
  • Blotting, Western
  • Doxycycline / administration & dosage
  • Female
  • Humans
  • Paris
  • Rickettsia / isolation & purification
  • Rickettsia Infections / diagnosis*
  • Rickettsia Infections / drug therapy
  • Rickettsia Infections / microbiology
  • Skin Diseases, Papulosquamous / diagnosis
  • Skin Diseases, Papulosquamous / drug therapy
  • Skin Diseases, Papulosquamous / microbiology
  • South Africa
  • Tick-Borne Diseases / diagnosis*
  • Tick-Borne Diseases / drug therapy
  • Tick-Borne Diseases / microbiology*
  • Travel*
  • Treatment Outcome
  • Vulva / microbiology*
  • Vulva / pathology

Substances

  • Anti-Bacterial Agents
  • Doxycycline