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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Main Authors: Socolovschi Cristina, Angelakis Emmanouil, Turc Yves, Gonin Khira, Edouard Sophie, Raoult Didier
Format: Article
Language:English
Published: BMC 2011-03-01
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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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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