Scalp eschar and neck lymphadenopathy by Rickettsia slovaca after Dermacentor marginatus tick bite case report: multidisciplinary approach to a tick-borne disease
| Autor: | Manuela Scarpulla, Luisa Galli, Claudio De Liberato, Maurizio Zini, Giulia Barlozzari, Carlotta Montagnani, Adele Magliano, Federico Romiti, Franco Corrias, Guglielmo Capponi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty DEBONEL 030231 tropical medicine Lymphadenopathy Eschar Tick Serology lcsh:Infectious and parasitic diseases 03 medical and health sciences 0302 clinical medicine Medical microbiology parasitic diseases Case report Animals Humans Medicine Tick-borne rickettsioses lcsh:RC109-216 Rickettsia Child Dermacentor Tick-borne disease Tick Bites biology business.industry SENLAT Rickettsia Infections 030108 mycology & parasitology biology.organism_classification medicine.disease bacterial infections and mycoses Dermatology Spotted fever Treatment Outcome Infectious Diseases medicine.anatomical_structure Scalp Dermatoses Parasitology Tick-Borne Diseases Doxycycline Scalp Rickettsia slovaca Female Dermacentor marginatus medicine.symptom business Neck |
| Zdroj: | BMC Infectious Diseases, Vol 21, Iss 1, Pp 1-4 (2021) BMC Infectious Diseases |
| ISSN: | 1471-2334 |
| Popis: | Background Scalp Eschar and Neck LymphAdenopathy after Tick bite is a zoonotic non-pathogen-specific disease most commonly due to Rickettsia slovaca and Rickettsia raoultii. Diagnosis is mostly based only on epidemiological and clinical findings, without serological or molecular corroboration. We presented a clinical case in which diagnosis was supported by entomological identification and by R. slovaca DNA amplifications from the tick vector. Case presentation A 6-year-old child presented with asthenia, scalp eschar and supraclavicular and lateral-cervical lymphadenopathy. Scalp Eschar and Neck LymphAdenopathy After Tick bite syndrome following a Dermacentor marginatus bite was diagnosed. Serological test on serum revealed an IgG titer of 1:1024 against spotted fever group rickettsiae, polymerase chain reaction assays on tick identified Rickettsia slovaca. Patient was successfully treated with doxycycline for 10 days. Conclusions A multidisciplinary approach including epidemiological information, clinical evaluations, entomological identification and molecular investigations on tick, enabled proper diagnosis and therapy. |
| Databáze: | OpenAIRE |
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