Eschar and neck lymphadenopathy caused by Francisella tularensis after a tick bite: A case report

被引：17

作者：

Edouard S. ^{[1
]}

Gonin K. ^{[2
]}

Turc Y. ^{[3
]}

Angelakis E. ^{[1
]}

Socolovschi C. ^{[1
]}

Raoult D. ^{[1
]}

机构：

[1] Faculté de Médecine et de Pharmacie, URMITE UMR 6236, CNRS-IRD, 13385 Marseille Cedex 05

[2] Service de Pédiatrie, Centre Hospitalier Laennec, 60100 Creil, Boulevard Laennec

[3] Service de Médecine Interne, Centre Hospitalier Laennec, 60100 Creil, boulevard Laennec

来源：

Journal of Medical Case Reports | / 5卷 / 1期

关键词：

Borrelia Burgdorferi; Folliculitis; Aetiological Agent; Indirect Immunofluorescence Assay; Tularemia;

D O I：

10.1186/1752-1947-5-108

中图分类号：

学科分类号：

摘要：

Introduction. In 25 to 35% of cases, the aetiological agent of scalp eschar and neck lymphadenopathy after a tick bite remains undetermined. To date, Rickettsia slovaca, Rickettsia raoultii and more recently Bartonella henselae have been associated with this syndrome. Case presentation. 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. Francisella tularensis DNA was found in the skin biopsy and the serology showed titres consistent with tularaemia. Conclusion. This is, to the best of our knowledge, the first reported case of scalp eschar and neck lymphadenopathy after tick bite infection caused by F. tularensis. © 2011 Edouard et al; licensee BioMed Central Ltd.

引用

共 10 条

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