Had a driver mate of mine flew back to Perth WA. Wasn’t feeling to flash as he got on the plane In Joburg, a few hours in and he really felt crook. Had been in the delta the week before and went ohooo dam. Said to one of the air hostess can you get and ambulance to meet the plane I’m coming down with malaria (he had had it before new the symptoms)I had a similar tbf experience. I must have been bitten shortly before flying back home. About a week later I was starting to feel crook and could see a number of the eschars. I went to the my local GP and told him that I thought I had African tick bite fever. He looked at me like I was another hypochondriac who spent too much time on Google. Told me it wasn't likely. Gave me a prescription for a general antibiotic (not Doxy) and sent me home.
After a week of the antibiotics there was no improvement. I rang a medical practice that specialized in travel medicine. I told them I had returned from Africa a fortnight ago and was experiencing fever etc. The receptionist immediately transferred my call direct to one of the doctors (there was an Ebola outbreak in the news at the time - I think it got their attention). I explained my symptoms, history and that I thought it might be African tick bit fever. They booked an appointment for first thing the next morning.
The doctor I saw had never encountered TBF before but had spent the night studying up on it. Fortunately the senior doctor in charge had encountered a couple of cases when he practiced overseas and could recognize the symptoms. With my agreement they also had every doctor and nurse in the practice come through and see what the eschars look like, as it s not something they would generally encounter in Australia. A quick course of Doxycycline and every cleared up right as rain.
A learning point out of this is that if you pick up something on safari, its quite likely that very few doctors in your home country will have encountered it before and will be dismissive about the likely cause. May pay to research a list of available exotic disease specialists in your area before hand.
When the plane landed the Ambulance was there but they where delayed getting off the plane as customs wanted to find the misquote wtf