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A previously healthy 39-year-old presented with fever, weakness and muscle pain, which began about 6 days after his return from a 3-week safari in Africa. The patient reported being bitten by a tick during the safari. Physical examination revealed a temperature of 38.2°C, one 0.5 cm eschar on the trunk (figure 1) and non-itchy rashes on his lower limbs (figure 2).
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