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KMID : 1144320220540010202
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감염과 화학요법
2022 Volume.54 No. 1 p.202 ~ p.207
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A Case of African Tick-Bite Fever in a Returning Traveler from Southern Africa
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Lee Woon-Ji
Seong Hye
Kim Jung-Ho
Choi Heun
Kim Jun-Hyoung
Ahn Jin-Young
Jeong Su-Jin
Ku Nam-Su
Choi Jun-Yong
Kim Choon-Mee
Kim Dong-Min
Yeom Joon-Sup
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Abstract
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African tick-bite fever (ATBF), caused by Rickettsia africae, is the second most frequent cause of fever after malaria in travelers returning from Southern Africa. As the Korean outbound travelers are increasing every year, tick-borne rickettsial diseases as a cause of febrile illness are likely to increase. We describe a febrile Korean returning traveler who showed two eschars after visiting the rural field in Manzini, Swaziland. We performed nested polymerase chain reaction using the eschar and diagnosed the patient with ATBF. He was treated with oral doxycycline for 7 days, and recovered without any complications. We believe that the present case is the first ATBF case diagnosed in a Korean traveler.
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KEYWORD
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Rickettsia africae, African tick-bite fever, Spotted fever group rickettsiosis, Polymerase chain reaction
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