Tree bug

BMJ 1998; 317 doi: (Published 15 August 1998) Cite this as: BMJ 1998;317:456

Letter from South Africa

  1. CH Vaughan Williams, principal medical officer
  1. Ingwavuma, South Africa

    There are two common conditions that affect doctors who work at Mosvold Hospital. One is tick bite fever. Almost every new doctor is confidently diagnosed as a sufferer sooner or later. We do not have the serology for confirmation. It is, however, of note how often it is diagnosed among medical staff and how rarely in patients. Most patients have to make do with less distinguished illnesses such as flu and perhaps an infected insect bite. There are a lot of ticks around. There are also a lot of mosquitoes; not to mention the 80 000 described insect species and 3000 species of spider and the thousands of undescribed bugs of various kinds, many of …

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