Scalp Eschar and Neck Lymphadenopathy Caused byRickettsia massiliae

Antonio Cascio,Chiara Iaria,Alessandra Torina,Valeria Blanda,Sara Bombaci,Natalia Camarda,Filippo De Luca,Malgorzata Wasniewska,Mariella Valenzise

doi:10.3201/eid1905.121169

Abstract

Scalp Eschar and Neck Lymphadenopathy Caused by<i>Rickettsia massiliae</i>

Highlights

To the Editor: Scalp eschar and neck lymphadenopathy is a common clinical entity that most frequently affects women and children during spring and fall
We report a case of R. massiliae infection that resulted in scalp eschar and neck lymphadenopathy
Residual alopecia 10 weeks after tick bite in 13-year-old boy with scalp eschar and neck lymphadenopathy caused by Rickettsia massiliae

Summary

Introduction

To the Editor: Scalp eschar and neck lymphadenopathy is a common clinical entity that most frequently affects women and children during spring and fall. R. massiliae belongs to the spotted fever group rickettsiae, is distributed worldwide, and is transmitted by ticks of the genus Rhipicephalus [3]. We report a case of R. massiliae infection that resulted in scalp eschar and neck lymphadenopathy. On May, 10, 2012, a 13-year-old boy was examined for headache, high fever, and right painful neck and occipital swelling.

Results

Conclusion