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Purpura, Eschars, and Leg Edema in a Traveler —Diagnosis

Arch Dermatol. 2012;148(2):247-252. doi:10.1001/archderm.148.2.247-f.
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Kelly P, Matthewman L, Beati L,  et al. African tick-bite fever: a new spotted fever group rickettsiosis under an old name. Lancet. 1992;340(8825):982-983
Mediannikov O, Trape J-F, Diatta G, Parola P, Fournier P-E, Raoult D.Rickettsia africae, Western Africa. Emerg Infect Dis. 2010;16(3):571-573
Parola P, Labruna MB, Raoult D.Tick-borne rickettsioses in America: unanswered questions and emerging diseases. Curr Infect Dis Rep. 2009;11(1):40-50
Eremeeva ME, Dasch GA.2012 Yellow Book, chapter 3: infectious diseases related to travel: rickettsial (spotted and typhus fevers) and related infections (Anaplasmosis and Ehrlichiosis).http://wwwnc.cdc.gov/travel/yellowbook/2012/chapter-3-infectious-diseases-related-to-travel/rickettsial-spotted-and-typhus-fevers-and-related-infections-anaplasmosis-and-ehrlichiosis.htm. Accessed July 4, 2011
Althaus F, Greub G, Raoult D, Genton B.African tick-bite fever: a new entity in the differential diagnosis of multiple eschars in travelers: description of five cases imported from South Africa to Swaziland. Int J Infect Dis. 2010;14:(suppl 3)  e274-e276
Jensenius M, Fournier PE, Kelly P, Myrvang B, Raoult D.African tick bite fever. Lancet Infect Dis. 2003;3(9):557-564
Jensenius M, Fournier PE, Vene S,  et al; Norwegian African Tick Bite Fever Study Group. African tick bite fever in travelers to rural sub-Equatorial Africa. Clin Infect Dis. 2003;36(11):1411-1417
Dam ås JK, Dav ì G, Jensenius M,  et al. Relative chemokine and adhesion molecule expression in Mediterranean spotted fever and African tick bite fever. J Infect. 2009;58(1):68-75
Lepidi H, Fournier P-E, Raoult D.Histologic features and immunodetection of African tick-bite fever eschar. Emerg Infect Dis. 2006;12(9):1332-1337
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