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- Title
Tick-borne lymphadenopathy - rickettsial skin infection with local lymphadenopathy and systemic symptoms following a tick bite.
- Authors
Krawczyk, Karolina; Mazur, Ewelina; Reich, Adam
- Abstract
Introduction: In face of recently increasing incidence rate, tick-borne diseases have gained importance in the field of public health. Lyme disease - the most common disease in Europe associated with bites by these arthropods - is not the only disease transmitted by ticks. Its differential diagnosis should include, inter alia, rickettsiosis. It is estimated that up to 40% of Dermacentor ticks in Poland have a positive polymerase chain reaction test result for the presence of rickettsial DNA. Objective: We present a case of a man with rickettsial skin infection with local lymphadenopathy and systemic symptoms following a tick bite. Case report: A 53-year-old man was admitted to the Department of Dermatology because of a skin lesion located in the area of the left lower abdomen (at the site of a tick bite) and enlargement of inguinal lymph nodes on the left side. Twenty four days before hospitalization in the Department of Dermatology, the patient was bitten by a tick, which he removed himself. On admission the clinical examination revealed a 1 cm ulcer covered with a black crust. Surrounded by erythematous papules with scaling and peripheral post-inflammatory discoloration. In addition, an approx. 6 cm pack of swollen, tender, hard, inguinal lymph nodes that could be freely moved was present on the left side. Conclusions: The presented case shows that in Poland, in patients with a history of a tick bite, the differential diagnosis should also take into consideration tick-borne diseases other than Lyme disease or tick-borne encephalitis.
- Subjects
TICK-borne diseases; LYMPHADENITIS; SKIN infections; NUCLEOTIDE sequence; PUBLIC health
- Publication
Dermatology Review / Przeglad Dermatologiczny, 2021, Vol 108, Issue 5, p414
- ISSN
0033-2526
- Publication type
Article
- DOI
10.5114/dr.2021.113159