2019
DOI: 10.1159/000495475
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South African Tick Bite Fever: An Overview

Abstract: The rickettsiae are a diverse group of vector-borne zoonotic bacterial pathogens. The two common spotted fever diseases in existence in southern Africa are boutonneuse fever-like tick bite fever (TBF), caused by Rickettsia conorii, and African TBF, caused by R. africae. This review addresses demographic, epidemiological, clinical, diagnostic, therapeutic, and preventive aspects of TBF in the southern African context, including a discussion of the dermatopathological findings and potential diagnostic pitfalls.

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Cited by 12 publications
(17 citation statements)
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“…The human illness associated to R. africae is the African Tick Bite Fever (ATBF), similar to MSF but milder and without maculopapular rash; sometimes the eschars may be two. Occasionally, it can cause neuropathy [ 170 ]. R. africae has been identified in Italy in a woman returning from Zimbabwe, with fever, tache noire and rash in the limb ipsilateral to the eschar; the symptomatology was identified as a sacral syndrome, evident in the same side of the eschar [ 161 ].…”
Section: Discussionmentioning
confidence: 99%
“…The human illness associated to R. africae is the African Tick Bite Fever (ATBF), similar to MSF but milder and without maculopapular rash; sometimes the eschars may be two. Occasionally, it can cause neuropathy [ 170 ]. R. africae has been identified in Italy in a woman returning from Zimbabwe, with fever, tache noire and rash in the limb ipsilateral to the eschar; the symptomatology was identified as a sacral syndrome, evident in the same side of the eschar [ 161 ].…”
Section: Discussionmentioning
confidence: 99%
“…In sub-Saharan Africa and in rural settings, R. africae is transmitted by Amblyomma hebraeum [41]. Seroprevalence of ATBF (70%) has been documented in areas where A. hebraeum and cattle coincide.…”
Section: Discussionmentioning
confidence: 99%
“…Seroprevalence of ATBF (70%) has been documented in areas where A. hebraeum and cattle coincide. In Mpumalanga, SA, 24.5% of serological evidence (IgM antibodies) of ATBF in patients with febrile illness has been documented while, within the same community, 92.2% of patients were seropositive showing common exposure to ATBF rickettsiae [41]. Other cases reported on ATBF have been from people who visited SA as tourists [42].…”
Section: Discussionmentioning
confidence: 99%
“…Mosquitoes, ticks and their burdens were widely explored in the region because of their significant local contribution to human malaria [ 18 , 72 ], livestock (e.g., heartwater) [ 22 ] as well as zoonotic diseases [ 73 ]. Despite the knowledge of diversity of arthropod vector groups explored in this study, malaria was the only prominent mosquito-borne infectious disease known to most of the respondents’ households.…”
Section: Discussionmentioning
confidence: 99%