title: [Rickettsiosis after tick bite: A subtle clinic picture on many occasions, we must be vigilant].
abstract: Rickettsia diseases are a group of tick-borne transmitted diseases, classified into 2 large groups: spotted fevers and typhus fevers. In addition, a new condition has been described recently, known as tick-borne lymphadenopathy. A retrospective series is presented of paediatric cases of rickettsia diseases diagnosed in 2013 and 2014. A total of 8 patients were included, of which 2 of them were diagnosed as Mediterranean spotted fever, and 6 as tick-borne lymphadenopathy. Rickettsia slovaca, Rickettsia sibirica mongolitimonae, and Rickettsia massiliae were identified in 3 of them. Aetiology, clinical features and treatment carried out in each of them are described. The interest of these cases is that, although most have a benign course, the high diagnostic suspicion and early treatment seem to be beneficial for its outcome.
authors.affiliation: Servicio de Pediatría, Hospital Universitari Sant Joan de Reus, Reus, Tarragona, España. Electronic address: madchen24@hotmail.com.
authors.forename: Maria Laura
authors.initials: ML
authors.lastname: Monterde-Álvarez
authors.affiliation: Servicio de Pediatría, Hospital Universitari Sant Joan de Reus, Reus, Tarragona, España.
authors.forename: Clara
authors.initials: C
authors.lastname: Calbet-Ferré
authors.affiliation: Servicio de Pediatría, Hospital Universitari Sant Joan de Reus, Reus, Tarragona, España.
authors.forename: Neus
authors.initials: N
authors.lastname: Rius-Gordillo
authors.affiliation: Servicio de Microbiología, Hospital Universitari Sant Joan de Reus, Reus, Tarragona, España.
authors.forename: Isabel
authors.initials: I
authors.lastname: Pujol-Bajador
authors.affiliation: Servicio de Microbiología, Hospital Universitari Sant Joan de Reus, Reus, Tarragona, España.
authors.forename: Frederic
authors.initials: F
authors.lastname: Ballester-Bastardie
authors.affiliation: Servicio de Pediatría, Hospital Universitari Sant Joan de Reus, Reus, Tarragona, España.
authors.forename: Joaquín
authors.initials: J
authors.lastname: Escribano-Subías
mesh_terms: D002648:Child; D002675:Child, Preschool; D006801:Humans; D012189:Retrospective Studies; D012282:Rickettsia Infections / Q000175:diagnosis / Q000209:etiology*; D064927:Tick Bites / Q000150:complications*
keywords: Fiebre botonosa mediterránea; Mediterranean spotted fever; Rickettsiosis; TIBOLA