Introduction: Spotted fever group rickettsioses are an interesting group of infections, which are increasing in incidence worldwide.

Case Presentation: Here we describe an imported case to the United Kingdom occurring in a patient who had recently visited Kruger National Park in South Africa - a highly endemic area for Rickettsia infections. Initial treatment with doxycycline failed but the patient made a prompt recovery after commencement of ciprofloxacin.

Conclusion: This finding raises the possibility that there are resistant strains of Rickettsia present.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2358909PMC
http://dx.doi.org/10.1186/1752-1947-2-98DOI Listing

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