Table 4. Importance of imported rickettsioses in travel medicine.

Rickettsiosis	Known area of spread	Frequency of rash and type of rash	Eschar	Prevalence in travelers	Fatality rate	Literature
Mediterranean spotted fever	Mediterranean, Africa, central Asia,India	>90%, maculopapular, non-itching	Present primarily as individual eschars	>50 cases in Germany	2.5–10%	5, Löscher: personal communication
African tick bite fever	Sub-Saharan Africa, Caribbean	100%, vesicular	Present primarily as multiple eschars	>50 cases inGermany	None	16, Authors’ own data
Rocky Mountain spotted fever	North America, South America	>90%,maculopapular, pruritus in about half of cases	Rare	1 case in Switzerland	15–30%	15
Murine typhus	Worldwide	Ca 50%, macular	Not present	> 50 cases worldwide	<5%	16
Epidemic typhus	Africa, South America	Ca 50%, macular	Not present	Individual cases	30%	17, 19
Siberian tick typhus	Northern Asia	100%, macular	Mostly present	Single case	<1%	16
Queensland tick typhus	Australia	100%, vesicular	Mostly present	Single case	<5%	16