Update on SENLAT syndrome: Scalp eschar and neck lymph adenopathy after a tick bite

被引:14
作者
Foissac, M. [1 ]
Socolovschi, C. [1 ]
Raoult, D. [1 ]
机构
[1] Aix Marseille Univ, URMITE, UM63, CNRS 7278,IRD 198,Inserm 1095, F-13005 Marseille, France
来源
ANNALES DE DERMATOLOGIE ET DE VENEREOLOGIE | 2013年 / 140卷 / 10期
关键词
Cervical lymphadenopathy; Cutaneous swab; Dermacentor tick; Doxycycline; Rickettsia spp; Scalp eschar; BORNE LYMPHADENOPATHY TIBOLA; MEDITERRANEAN SPOTTED-FEVER; RICKETTSIA-SLOVACA INFECTION; DERMACENTOR-MARGINATUS; NECROSIS ERYTHEMA; DISEASE; DEBONEL/TIBOLA; DIAGNOSIS; PCR; IDENTIFICATION;
D O I
10.1016/j.annder.2013.07.014
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
SENLAT syndrome, also known as TIBOLA/DEBONEL, is an emerging disease in France. The major symptoms are necrotic eschar on the scalp associated with painful cervical lymphadenopathy. It occurs mainly in women and children during the cold seasons after a bite by a Dermacentor tick, responsible for transmitting Rickettsia slovaca or Rickettsia raoultii. Cutaneous swabs are safe, easy and reliable toots that should be used routinely by physicians to confirm diagnosis. In this particular disease, they should be preferred to serology, which is less sensitive. Doxycycline is the antibiotic of choice for this syndrome. (C) 2013 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:598 / 609
页数:12
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