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Fever after a safari in Africa
  1. Yeter Gökburun,
  2. Halil Yildiz
  1. Department of Internal Medicine, Saint Luc University Hospital, Brussels, Belgium
  1. Correspondence to Halil Yildiz, Service de médecine interne, Cliniques universitaires St-Luc, Avenue Hippocrate 10, Brussels B-1200, Belgium; halil.yildiz{at}uclouvain.be

https://doi.org/10.1136/emermed-2015-205605

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    Clinical introduction

    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).

    Figure 1

    Eschar on the trunk.

    Figure 2

    Rashes on lower limbs.

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    Footnotes

    • Contributors HY and YG contributed equally to the diagnosis, management of the patient and to the writing of this manuscript.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.