Abstract
We report on a patient in Austria with scalp eschar and neck lymphadenopathy. Rickettsial etiology was excluded by culture, PCR, and serologic tests. Borrelia afzelii was identified from the eschar swab by PCR. Lyme borreliosis can mimic rickettsiosis; appropriate tests should be included in the diagnostic workup of patients with eschars.
Highlights
We report on a patient in Austria with scalp eschar and neck lymphadenopathy
We report a case of Scalp eschar and neck lymphadenopathy (SENLAT) in a patient from Austria with serologic and molecular evidence for infection with Borrelia burgdorferi sensu lato (s.l.)
Scalp eschar of a woman in Austria who was found to be infected with Borrelia afzelii
Summary
We report on a patient in Austria with scalp eschar and neck lymphadenopathy. Rickettsial etiology was excluded by culture, PCR, and serologic tests. Scalp eschar and neck lymphadenopathy (SENLAT) is frequently caused by Rickettsia slovaca and R. raoultii. We report a case of SENLAT in a patient from Austria with serologic and molecular evidence for infection with Borrelia burgdorferi sensu lato (s.l.). Serologic tests for tickborne diseases using Anti-Borrelia plus VlsE ELISA for IgG and Anti-Borrelia ELISA for IgM (Euroimmun, https://www.euroimmun.com),
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