title: [Case of TIBOLA/DEBONEL (tick - borne lymphadenopathy/Dermacentor spp. - borne necrosis - erythema - lymphadenopathy) in Poland].
abstract: Rickettsia slovaca was recognized as the causative agent of the disease named tick - borne lymphadenopathy (TIBOLA) or Dermacentor spp.- borne necrosis - erythema lymphadenopathy (DEBONEL). Generally, this ricketsiosis is considered a mild disease but the disease is considered a mild rickettsiosis, but severe symptoms can appeare, especially in untreated patients. Described infection is the first case of TIBOLA/DEBONEL found in Poland. The patient had typical symptoms, such as enlarged painful cervical lymph nodes and maculo - papular rash. Milium on the scalp behind the ear concha, was a probably scar formation associated with typical eschar. The diagnosis was confirmed by detection of 128 titer in MIF tests with R. rickettsii and R. slovaca antigens and four-fold decrease after treatment.
authors.affiliation: Samodzielna Pracownia Riketsji, Chlamydii i Kretków Odzwierzecych, Narodowy Instytut Zdrowia Publicznego - Państwowy Zakład Higieny w Warszawie. tchmielewski@pzh.gov.pl
authors.forename: Tomasz
authors.initials: T
authors.lastname: Chmielewski
authors.forename: Dorota
authors.initials: D
authors.lastname: Rudzka
authors.forename: Beata
authors.initials: B
authors.lastname: Fiecek
authors.forename: Ilona
authors.initials: I
authors.lastname: Maczka
authors.forename: Stanisława
authors.initials: S
authors.lastname: Tylewska-Wierzbanowska
mesh_terms: D000328:Adult; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000907:Antibodies, Bacterial / Q000276:immunology; D003870:Dermacentor / Q000382:microbiology*; D004318:Doxycycline / Q000627:therapeutic use; D006801:Humans; D008206:Lymphatic Diseases / Q000188:drug therapy / Q000382:microbiology*; D008297:Male; D009336:Necrosis; D012281:Rickettsia / Q000302:isolation & purification*; D012282:Rickettsia Infections / Q000188:drug therapy / Q000382:microbiology*; D017282:Tick-Borne Diseases / Q000188:drug therapy / Q000382:microbiology*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D000907:Antibodies, Bacterial; D004318:Doxycycline