Eschar and neck lymphadenopathy caused by <it>Francisella tularensis </it>after a tick bite: a case report
<p>Abstract</p> <p>Introduction</p> <p>In 25 to 35% of cases, the aetiological agent of scalp eschar and neck lymphadenopathy after a tick bite remains undetermined. To date, <it>Rickettsia slovaca</it>, <it>Rickettsia raoultii </it>and more rece...
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Format: | Article |
Language: | English |
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BMC
2011-03-01
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Series: | Journal of Medical Case Reports |
Online Access: | http://www.jmedicalcasereports.com/content/5/1/108 |
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author | Socolovschi Cristina Angelakis Emmanouil Turc Yves Gonin Khira Edouard Sophie Raoult Didier |
author_facet | Socolovschi Cristina Angelakis Emmanouil Turc Yves Gonin Khira Edouard Sophie Raoult Didier |
author_sort | Socolovschi Cristina |
collection | DOAJ |
description | <p>Abstract</p> <p>Introduction</p> <p>In 25 to 35% of cases, the aetiological agent of scalp eschar and neck lymphadenopathy after a tick bite remains undetermined. To date, <it>Rickettsia slovaca</it>, <it>Rickettsia raoultii </it>and more recently <it>Bartonella henselae </it>have been associated with this syndrome.</p> <p>Case presentation</p> <p>A four-year-old Caucasian boy was admitted to hospital with fever, vomiting and abdominal pain. On physical examination, an inflammatory and suppurating eschar was seen on the scalp, with multiple enlarged cervical lymph nodes on both sides. Although no tick was found in this scalp lesion, a diagnosis of tick-borne lymphadenopathy was suggested, and explored by serology testing and polymerase chain reaction of a biopsy from the eschar. <it>Francisella tularensis </it>DNA was found in the skin biopsy and the serology showed titres consistent with tularaemia.</p> <p>Conclusion</p> <p>This is, to the best of our knowledge, the first reported case of scalp eschar and neck lymphadenopathy after tick bite infection caused by <it>F. tularensis.</it></p> |
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issn | 1752-1947 |
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spelling | doaj.art-d23b45f8adae415ebd7e031da74bf30a2022-12-21T18:38:14ZengBMCJournal of Medical Case Reports1752-19472011-03-015110810.1186/1752-1947-5-108Eschar and neck lymphadenopathy caused by <it>Francisella tularensis </it>after a tick bite: a case reportSocolovschi CristinaAngelakis EmmanouilTurc YvesGonin KhiraEdouard SophieRaoult Didier<p>Abstract</p> <p>Introduction</p> <p>In 25 to 35% of cases, the aetiological agent of scalp eschar and neck lymphadenopathy after a tick bite remains undetermined. To date, <it>Rickettsia slovaca</it>, <it>Rickettsia raoultii </it>and more recently <it>Bartonella henselae </it>have been associated with this syndrome.</p> <p>Case presentation</p> <p>A four-year-old Caucasian boy was admitted to hospital with fever, vomiting and abdominal pain. On physical examination, an inflammatory and suppurating eschar was seen on the scalp, with multiple enlarged cervical lymph nodes on both sides. Although no tick was found in this scalp lesion, a diagnosis of tick-borne lymphadenopathy was suggested, and explored by serology testing and polymerase chain reaction of a biopsy from the eschar. <it>Francisella tularensis </it>DNA was found in the skin biopsy and the serology showed titres consistent with tularaemia.</p> <p>Conclusion</p> <p>This is, to the best of our knowledge, the first reported case of scalp eschar and neck lymphadenopathy after tick bite infection caused by <it>F. tularensis.</it></p>http://www.jmedicalcasereports.com/content/5/1/108 |
spellingShingle | Socolovschi Cristina Angelakis Emmanouil Turc Yves Gonin Khira Edouard Sophie Raoult Didier Eschar and neck lymphadenopathy caused by <it>Francisella tularensis </it>after a tick bite: a case report Journal of Medical Case Reports |
title | Eschar and neck lymphadenopathy caused by <it>Francisella tularensis </it>after a tick bite: a case report |
title_full | Eschar and neck lymphadenopathy caused by <it>Francisella tularensis </it>after a tick bite: a case report |
title_fullStr | Eschar and neck lymphadenopathy caused by <it>Francisella tularensis </it>after a tick bite: a case report |
title_full_unstemmed | Eschar and neck lymphadenopathy caused by <it>Francisella tularensis </it>after a tick bite: a case report |
title_short | Eschar and neck lymphadenopathy caused by <it>Francisella tularensis </it>after a tick bite: a case report |
title_sort | eschar and neck lymphadenopathy caused by it francisella tularensis it after a tick bite a case report |
url | http://www.jmedicalcasereports.com/content/5/1/108 |
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