Monday, September 19, 2016


This disease is common in rural Africans, but can also be seen with travelers returning from Africa or the east Caribbean. It presents as a mild illness with headache, fever, and myalgias. Solitary or multiple eschars as shown above are common, along with regional lymphadenopathy. There may be a scant generalized rash, and uncommonly, subacute neuropathy or myocarditis.

Challenge: What is your diagnosis?

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Anonymous said...

Scrub typhus

Craig Chen said...

oh good one! i think you could be right and my case wasn't specific enough. I was going for a Rickettsial disease but Scrub typhus caused by Orientia tsutsugamushi could give similar symptoms

This is African tick-bite fever, a Rickettsial disease caused by R. africae.

Source: UpToDate.