African tick bite fever (ATBF) is a bacterial infection spread by the bite of a tick.[1] Symptoms may include fever, headache, muscles pains, and a rash.[1] At the site of the bite there is typically a red skin sore with a dark center.[1] Onset usually occur 4–10 days after the bite.[4] Complications are rare, however may include joint inflammation.[2][3] Some people do not develop symptoms.[4]