title: Septic shock in a patient infected with Rickettsia sibirica mongolitimonae, Spain.
abstract: In 1996, the first human case of infection by Rickettsia sibirica subsp. mongolitimonae was described in France. Subsequently, other human cases were reported in the same country. The acronym LAR (lymphangitis-associated rickettsiosis) has been proposed to designate this disease because lymphangitis is one of the main clinical manifestations. Later, a few more cases were described in Portugal, South Africa, Egypt, Greece and Spain. We report a case of R. sibirica mongolitimonae infection as a cause of septic shock in a Spanish patient living in La Rioja (northern Spain). In addition, the broad clinical spectrum of this tick-borne disease is discussed.
authors.affiliation: Área de Enfermedades Infecciosas, Hospital San Pedro-Centro de Investigación Biomédica de La Rioja, La Rioja, Spain.
authors.forename: V
authors.initials: V
authors.lastname: Ibarra
authors.forename: A
authors.initials: A
authors.lastname: Portillo
authors.forename: A M
authors.initials: AM
authors.lastname: Palomar
authors.forename: M M
authors.initials: MM
authors.lastname: Sanz
authors.forename: L
authors.initials: L
authors.lastname: Metola
authors.forename: J R
authors.initials: JR
authors.lastname: Blanco
authors.forename: J A
authors.initials: JA
authors.lastname: Oteo
mesh_terms: D000328:Adult; D000368:Aged; D004269:DNA, Bacterial / Q000737:chemistry / Q000235:genetics; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008969:Molecular Sequence Data; D012281:Rickettsia / Q000145:classification / Q000235:genetics / Q000302:isolation & purification*; D012282:Rickettsia Infections / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology*; D017422:Sequence Analysis, DNA; D012772:Shock, Septic / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology*; D013030:Spain; D055815:Young Adult
chemical_list: D004269:DNA, Bacterial