title: Spotless rickettsiosis caused by Rickettsia slovaca and associated with Dermacentor ticks.
abstract: The pathogenic role of Rickettsia slovaca was first demonstrated in 1997 in a patient who presented with a single inoculation lesion of the scalp and enlarged cervical lymph nodes after receiving a bite from a Dermacentor tick. Subsequently, we evaluated the occurrence of R. slovaca infections among patients living in France and Hungary who presented with these symptoms. R. slovaca infections were confirmed by polymerase chain reaction (PCR) in 17 of 67 enrolled patients. Infections were most likely to occur in patients aged <10 years and in patients who were bitten during the colder months of the year. The median duration of incubation for the disease was 7 days. Fever was present in only 2 patients, and only 1 patient developed a rash. Sequelae included persistent asthenia (3 cases) and localized alopecia (4 cases). Immunofluorescence and/or Western blot analysis detected antibodies in 50% of tested patients. Three Dermacentor ticks obtained from patients revealed R. slovaca by PCR.
authors: Unité des Rickettsies, Faculté de Médecine, Université de la Méditerranée, 13385 Marseille Cedex 05, France. Didier.Raoult@medecine.univ-mrs.fr
authors: Didier
authors: D
authors: Raoult
authors: Andras
authors: A
authors: Lakos
authors: Florence
authors: F
authors: Fenollar
authors: Jean
authors: J
authors: Beytout
authors: Philippe
authors: P
authors: Brouqui
authors: Pierre-Edouard
authors: PE
authors: Fournier
mesh_terms: D000818:Animals; D003870:Dermacentor; D005260:Female; D005455:Fluorescent Antibody Technique; D005602:France / Q000453:epidemiology; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D008297:Male; D016133:Polymerase Chain Reaction; D012281:Rickettsia; D012282:Rickettsia Infections / Q000382:microbiology* / Q000503:physiopathology; D017282:Tick-Borne Diseases / Q000382:microbiology* / Q000503:physiopathology