title: A case of rickettsialpox in Northern Europe.
abstract: We report the first case of rickettsialpox caused by Rickettsia akari in the Netherlands. The diagnosis was suspected based on clinical grounds and was confirmed by Western blot analysis with cross-adsorption. Because the arthropod vector (Liponyssoides sanguineus) is ubiquitous, we suspect that the disease is under-diagnosed in non-endemic areas.
authors.affiliation: URMITE, UMR CNRS 6236, IRD 198, Université de Méditerranée, Faculté de Médecine, 27 bd Jean Moulin, 13385 Marseille cedex 5, France.
authors.forename: Aurélie
authors.initials: A
authors.lastname: Renvoisé
authors.forename: Jan W
authors.initials: JW
authors.lastname: van't Wout
authors.forename: Jan-Gerrit
authors.initials: JG
authors.lastname: van der Schroeff
authors.forename: Matthias F
authors.initials: MF
authors.lastname: Beersma
authors.forename: Didier
authors.initials: D
authors.lastname: Raoult
mesh_terms: D000818:Animals; D001179:Arthropod Vectors; D021821:Communicable Diseases, Emerging / Q000175:diagnosis / Q000382:microbiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D008925:Mites / Q000382:microbiology; D009426:Netherlands; D041141:Rickettsia akari / Q000472:pathogenicity*; D012288:Rickettsiaceae Infections / Q000175:diagnosis* / Q000382:microbiology*