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Correspondence
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Volume 338:1391-1392 May 7, 1998 Number 19
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Tick-Borne Infection Caused by Rickettsia africae in the West Indies

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To the Editor: Tick-borne rickettsioses have been suspected but not documented well in the Americas.1 We report a case of Rickettsia africae infection in the West Indies.

In July 1997, a 50-year-old French woman was bitten by a tick on her right foot while on the island of Guadeloupe. A few days later she noted a 0.5-cm erythematous nodular lesion at the bite site, erythema of the right groin, and a low-grade fever. One month later, when back in France, she consulted one of us for fatigue and a low-grade fever. Her physical examination was normal, but the nodular lesion . . . [Full Text of this Article]

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