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Volume 11, Number 11—November 2005
Letter

African Tick-bite Fever in French Travelers

Paul H. Consigny*, Jean-Marc Rolain†, Daniel Mizzi‡, and Didier Raoult§Comments to Author 
Author affiliations: *Institut Pasteur de Paris, Paris, France; †Université de la Méditerranée, Marseille, France; ‡Médecin de Santé au Travail, Plaisir, France; §Faculté de Médecine, Marseille, France

Main Article

Table

Epidemiologic, clinical, and serologic information for 10 patients with African tick-bite fever*

Patient Sex/age (y) Tick bite Delay before onset (d) Fever Headache Myalgia Eschar (site) Skin rash 1st serum† IgG/IgM 2nd serum† IgG/IgM Diagnosis
1 M/62 No 7 Yes No No Multiple (legs) No NA NA Probable
2 F/58 No 6 Yes No Yes Multiple (legs, arms) No 64/32 64/128 Confirmed
3 M/58 No 6 No Yes No Single (trunk) No 64/32 128/16 Confirmed
4 F/51 No 6 No Yes Yes Multiple (legs, trunk) No 0/64 128/16 Confirmed
5 M/58 No 5 Yes No Yes Multiple (legs) No 512/0 512/0 Confirmed
6 F/57 No 5 No No Yes Yes (unknown) Yes NA 32/16 Confirmed
7 M/65 No 5 Yes Yes Yes Multiple (hands) No 128/64 512/128 Confirmed
8 F/59 No 10 No No No Multiple (legs, arms, trunk) No 64/8 128/32 Confirmed
9 M/53 No 3 Yes Yes Yes Multiple (legs) Yes 0/0 1,024/512 Confirmed
10 M/51 No 8 Yes No Yes No Yes 32/32 64/64 Confirmed
Total (%) 0 60 40 70 90 30

*NA, not available; Ig, immunoglobulin; male-to-female ratio, 60%; mean age = 57.2 ± 4.5 years.
†Identical results obtained with both Rickettsia africae and R. conorii antigens.

Main Article

Page created: February 17, 2012
Page updated: February 17, 2012
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The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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