A 33-year old Ivorian woman was admitted for fever and thrombocytopenia. She had been previously treated in France by tocilizumab then anti TNF-α for rheumatoid arthritis since 7 and 2 years respectively. She lost weight three months ago, whereas her last trip to Ivory Coast was three years ago. Physical examination was unremarkable except a hectic fever. Complete Blood count revealed hypochromic microcytic anaemia (6.1 g/dL) and profound thrombocytopenia (11 000/mm3), Serum C reactive protein and ferritin values were 81 mg/L and 636 ng/mL respectively.
