FIEVRE BOUTONNEUSE

African tick typhus, one of the tick-borne rickettsial illness of the eastern hemisphere, similar to Rocky Mountain spotted fever, but smaller severe, with fever, a little ulcer (tache noire) at the site of the tick bite, swollen glands nearby (satellite lymphadenopathy), and a red raised (maculopapular) rash. The French word boutonneuse means pimply. Also called boutonneuse and Conor and Bruch's malady.