Talk:African tick bite fever

Wiki Education Foundation-supported course assignment

This article is or was the subject of a Wiki Education Foundation-supported course assignment. Further details are available on the course page. Student editor(s): Rashaaban.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 16:57, 17 January 2022 (UTC)

Wiki Education Foundation-supported course assignment

This article is or was the subject of a Wiki Education Foundation-supported course assignment. Further details are available on the course page. Student editor(s): Pedsintraining, Jjanssen275. Peer reviewers: OnurYenigun, Margotalbert.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 13:33, 16 January 2022 (UTC)

Article categorization

This article was categorized based on scheme outlined at WP:DERM:CAT. ---kilbad (talk) 19:41, 30 July 2009 (UTC)

Hearsay

As a layman with no medical training I don't feel it's appropriate for me to write this article, but I am familiar with this illness. The fever runs it's course in about 15 days, accompanied by nausea, headaches and tender lymph nodes. Treatment with antibiotics can reduce duration of symptoms to 10 days or so. — Preceding unsigned comment added by 196.210.160.78 (talk) 17:36, 7 October 2011 (UTC)

Major page update

___________________

Hi Wiki Community! Two members of the UCSF Wikipedia class here. We are planning on adding the following sections to this page by 12/11, with edits from our course mates the following week: - Signs and Symptoms - Causes - Mechanism/Pathogenesis - Diagnosis - Management/ Treatment We are both new to Wiki editing, so any feedback/thoughts would be appreciated. Jjanssen275 (talk) 03:34, 28 November 2016 (UTC)

-- As part of this page update, we will be checking and updating the references. The first source (http://www.health24.com/Lifestyle/Man/Your-life/Tick-bite-fever-20120721) is a webpage and not a published article, so I'm planning on removing it and editing the text associated with it. I also have found no evidence that R. africae is transmitted by the Dermocentor genus, so will remove this as well. Jjanssen275 (talk) 18:32, 1 December 2016 (UTC)

-- I have started to add information about the treatment and prevention of tick bite fever, using secondary sources from high impact articles and books.Pedsintraining (talk) 19:22, 1 December 2016 (UTC)

--We continue to update the page and references. There are not many secondary sources outside a few review articles and books, so we have utilized a few primary sources. Pedsintraining (talk) 04:28, 6 December 2016 (UTC)

--Thank you to those helping up to clean up the page, ensuring we adhere to wiki-style and taking out dosages! This week we will continue to add content, make the article more readable and add some images. Pedsintraining (talk) 23:30, 7 December 2016 (UTC)

@Pedsintraining and Jjanssen275: It's great seeing this page expand! Very well done. I look forward to any more you add next week. T.Shafee(Evo&Evo)^talk 12:47, 9 December 2016 (UTC)

Hi all, for the peer reviewers, I wanted to clarify who worked on which sections:

• Jjanssen worked on the Lead Lines, Signs and Symptoms, Cause, Epidemiology and last 3 sentences of the Prevention section.
• Pedsintraining worked on Pathogenesis, Diagnosis, Treatment and the first 2 sentences of the Prevention section. Also worked on editing Lead lines after JJanssen, so if both reviewers could take a look that would be great!

Jjanssen275 (talk) 00:16, 11 December 2016 (UTC)Pedsintraining (talk) 16:10, 11 December 2016 (UTC)

peer review for jjanssen

great job! really like the structure and readability. Suggestions are mostly around wording/accessibility to laypersons. - Thank you for these edits!

Lead section: 1st paragraph

• 1st sentence – consider changing tick-borne to disease transmitted by ticks (thinking about the lead paragraph being geared towards general public instead of medical professionals and keeping language simple to make it more widely accessible). Also might put in “caused by the bacteria Rickettsia africae”) Done
• 2nd sentence – consider moving to later section (similar theme of keeping first paragraph relevant to general public) - I think I may leave it to include how it is transmitted in the lead paragraph :)
• 5th sentence – I would put inoculation eschars in non-medical terminology (something like “scabs at the site of the tic bites”) Done

2nd paragraph

• 3rd sentence – this is the only sentence where you use ATBF instead of writing out the full name. I would keep is consistently one or the other. Ah, Thank you! Fixed this.

signs and symptoms:

• would suggest consistently using either the abbreviation ATBF or full name African Tick Bite fever instead of changing between them - Done
• consider making a link for reactive arthritis - Done
• consider linking to photo for maculopapular or vesicular rash - Done
• consider describing eschar in nonmedical terms - Done

Epidemiology - need citation for first sentence Citation added — Preceding unsigned comment added by Margotalbert (talk • contribs) 05:13, 13 December 2016 (UTC)

Peer Review for Pedsintraining

I enjoyed reading your sections and feel that they’re very well done. The feedback I have below is more nitpicky than anything. Great work!

Pathogenesis:
•"The body then releases chemicals that cause inflammation, resulting in the characteristic symptoms.”
- It would be great if you listed a few of the common symptoms here (fever/HA/myalgia). I knew they’re above in the S/Sx section but I think it would add to the completeness of your section.

•"that involves immune cell deposition into the cells that make up vessels.”
- I think that first putting “endothelial cell” and then defining that they are the ones that make-up vessels would better cater to both the medical and lay community.

•"This occurs secondary to the chemicals mentioned above, and as well as damage from the infection, and involves signals to immune cells (T cells and macrophages) to come to the site of the infection.”
- Just a suggestion here. I feel that it flows better this way personally. Totally your call!

•"This is the cause of the characteristic eschar.”
- I would hyperlink eschar here so that it can easily be clicked on for reference.

Diagnosis:
•"Travelers who present to a doctor after a trip to affected areas can be hard to diagnose, as many tropical diseases cause a fevers similar to that of ATBF.”
- Grammar suggestion

•"Biopsies or cultures of a person's tick wound (eschar) are used to diagnose ATFB ATBF”
- Spelling

•"Immunofluorescence assays can also be used, but are hard to interpret because of cross-reactions with other rickettsiae bacteria.”
- Spelling

Treatment:
•bad headache
- This is a bit vague. Maybe you can define this better or change the wording.

Prevention:
• A picture of a map highlighting areas of prevalence, or a link to a list of such areas would be great to add here!

Suggested Changes

Hello ATBF talk page community.

As a part of a class assignment for Queen’s Medical school, we are suggesting a few edits to this page. Below you will find a list of our suggestions to help improve this article. We would appreciate the community feedback before we proceed and implement these changes.

1. Within the section named “Causes,” specifically, the subheading “Vectors,” we suggest rewording the first sentence and adding a second one.

First sentence suggestion: “Two species of hard ticks, Amblyoma variegatum and Amblyomma hebraeum are the most common vectors of R. africae.

Second sentence suggestion: "Typically, Amblyoma variegatum transmits the bacteria in South Africa while Amblyomma hebraeum carries R. africae throughout West, Central and East Africa and through the French West Indies.

Please place your wikilinks on the words the first time they are used (i.e: your first sentence}JenOttawa (talk) 03:53, 15 November 2017 (UTC)

Thanks JenOttawa! We will be sure to make that change. Courtlleach3 (talk)

2. In the “Causes,” subheading “Vectors” we suggest that within the last paragraph regarding the French West Indies, the sentence “However…..discovery of R. africae within amblyomma varigatum ticks on Gaudelupe island” be changed to “…discovery of R. africae carried by amblyomma varigatum ticks introduced through cattle shipped from Senegal to Gaudeluope more than a century ago.

3. References #1, #10 and #20 are the same source. We suggest removing references #10 and #20, and attributing the following sentences to reference #1.

• Amblyomma ticks are most active from November to April.
• Extra caution should be taken in November - April, when Amblyomma ticks are more active.
• Inspection of the body, clothing, gear, and any pets, after time outdoors can help to identify and remove ticks early.

4. The signs and symptoms are not all cited. We suggest adding a citation for each bullet point not currently cited, as can be seen below:

• Fever
• Headache
• Muscle aches
• Inoculation eschar, which is dead, often black, tissue around a bite site
• Swollen lymph nodes near the site of the bite

5. The excerpt “...though the range of symptom onset is 4–10 days” (within the second sentence under "Signs and Symptoms") is not supported by source #8. We suggest changing this sentence to say in full, "The onset of illness is typically 5–7 days after the tick bite, although in some cases it may take up to 10 days for symptoms to occur".

That concludes the edits we suggest for this article. We would appreciate any and all feedback on them.

Sincerely,

Queen’s Medical School Year 2021, Group 2 Courtlleach3 (talk) 01:18, 8 November 2017 (UTC)

COMMENT: Your second ref (CDC) is already used as ref 1, 10 and 19. Your third ref (Jensenius) is already used as ref 2 & 8. The problem with finding more citations for this article is that it was extensively worked on as a medical school assignment in 2016. David notMD (talk) 03:59, 9 November 2017 (UTC)

RESPONSE: Hi David notMD, thanks so much for your comment! We are aware that a couple of our references are already used in the article, we only referenced them here to make clear which sources we were referring to in our proposed edits and we apologize for the confusion. Even though another group of students worked on this page last year, we are hoping to contribute a few more meaningful edits! Courtlleach3 (talk) 15:55, 11 November 2017 (UTC)