Dermacentor-borne necrosis erythema lymphadenopathy (DEBONEL) due to Rickettsia raoultii in a patient with erythema migrans

Author:

Norman Francesca F1,Sánchez-Martín Jesús2,Rodríguez-Domínguez Mario3,Escudero Raquel4,Martín Oihane5

Affiliation:

1. Ramón y Cajal University Hospital Infectious Diseases Department, , IRYCIS, Universidad de Alcalá, CIBERINFEC, Madrid, Spain

2. Ramón y Cajal University Hospital Plastic Surgery Department, , IRYCIS, Madrid, Spain

3. Ramón y Cajal University Hospital Microbiology Department, , IRYCIS, CIBERESP, Madrid, Spain

4. Carlos III Health Institute Reference and Research Laboratory on Special Pathogens, National Microbiology Center, , Madrid, Spain

5. Ramón y Cajal University Hospital Microbiology Department, , IRYCIS, CIBERINFEC, Madrid, Spain

Abstract

Erythema migrans is usually associated with infections/co-infections with Borrelia spp. DEBONEL and other localized diseases caused by Rickettsia spp. following a tick bite usually respond to therapy with doxycycline but possible co-infections with Borrelia spp should be excluded. In this case, PCR in the tick was positive for Rickettsia raoultii.

Funder

Instituto de Salud Carlos III, Ministerio de Ciencia e Innovación and Unión Europea

Consorcio Centro de Investigación Biomédica en Red

Publisher

Oxford University Press (OUP)

Subject

General Medicine

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