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Scalp eschar and neck lymph adenopathy after a tick bite (SENLAT) in Tuscany, Italy (2015–2022).
- Source :
- Infection; Dec2023, Vol. 51 Issue 6, p1847-1854, 8p
- Publication Year :
- 2023
-
Abstract
- Introduction: The Scalp Eschar and Neck Lymph Adenopathy After a Tick Bite (SENLAT) syndrome is frequently caused by Rickettsia slovaca and Rickettsia raoultii. Only six microbiologically confirmed SENLAT cases have been reported in Italy between 1996 and 2021. We report ten cases of SENLAT seen between 2015 and 2022 in a tertiary care center in Tuscany, Italy. Cases presentation: All patients were women; most common symptoms were scalp eschar on the site of tick bite (100%) and cervical lymphadenopathy (90%). No microbiological identification was obtained. Persistent alopecia, for several months to years, was observed in four patients. The known difficulty of microbiological diagnosis in SENLAT was worsened, in our cases, by factors as the absence of ticks available for identification and microbiological study, and antibiotic treatment administration previous to microbiological tests. Conclusion: The report highlights the presence of SENLAT in Italy, aiming to raise the awareness toward the emergence of this clinical entity. [ABSTRACT FROM AUTHOR]
- Subjects :
- ANTIBIOTICS
SKIN diseases
TICK-borne diseases
BITES & stings
RICKETTSIAL diseases
GRAM-negative bacteria
LYMPH nodes
RICKETTSIA
ZOONOSES
DIFFERENTIAL diagnosis
TERTIARY care
TREATMENT effectiveness
TICKS
RESEARCH funding
CASE studies
MICROBIOLOGICAL techniques
DESCRIPTIVE statistics
GRAM-negative bacterial diseases
NECK
DISEASE complications
Subjects
Details
- Language :
- English
- ISSN :
- 03008126
- Volume :
- 51
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Infection
- Publication Type :
- Academic Journal
- Accession number :
- 173806161
- Full Text :
- https://doi.org/10.1007/s15010-023-02079-8