african tick bite fever--papulovesicular exanthem with fever after staying in south africa. | in the wake of expanding international tourism, rickettsioses are increasingly observed also in central europe. african tick bite fever is a recently described, acute febrile illness with characteristic skin lesions. it is caused by rickettsia africae, which is transmitted to humans by ticks of the amblyomma genus. a 60-year-old woman presented with a papulovesic-ular exanthem, fever, and headache after returning from south africa. a purple nodule with central necrosis ("tache noire"or "inoculat ... | 2008 | 18021248 |