African tick bite fever

Rickettsial Diseases

Animals Involved

Ungulates

Known Distributions

Sub­Saharan Africa, eastern Caribbean

Probable Means of Spreading

Bite of infected tick (mainly Amblyomma hebraeum, A variegatum, also A lepidum, possibly Rhipicephalus decoloratus,Rhipicephalus appendiculatus)

Clinical Manifestations in People

Nonspecific febrile illness; painful regional lymphadenopathy in many; eschars often multiple; nuchal myalgia; sometimes sparse maculopapular and/or vesicular rash; deaths do not seem to occur

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