[Lymphangitis-associated rickettsiosis caused by Rickettsia sibirica mongolitimonae]

Ann Dermatol Venereol. 2013 Aug-Sep;140(8-9):521-7. doi: 10.1016/j.annder.2013.04.096. Epub 2013 Jun 3.
[Article in French]

Abstract

Rickettsia sibirica mongolitimonae was first isolated 20 years ago in Asia but has now been identified on three continents. Hyalomma spp. and Rhipicephalus pusillus ticks are vectors but only a small number of cases have been reported to date, mainly on the Mediterranean coast. This bacterium induces the lymphangitis-associated rickettsiosis, a still unfamiliar rickettsiosis that is mainly characterized by fever with a rope-like lymphangitis and/or lymphadenopathy and skin eschar occurring after tick bites. These features are especially evocative if they occur in spring. Sequellae are very rare and treatment with doxycycline is recommended.

Keywords: Adenopathy; Adénopathie; Escarre d’inoculation; Eschar; Lymphangite; Lymphangitis; Rickettsia sibirica mongolitimonae; Rickettsiose; Rickettsiosis; Tick; Tique.

Publication types

  • Review

MeSH terms

  • Animals
  • Animals, Domestic / parasitology
  • Animals, Wild / parasitology
  • Anti-Bacterial Agents / therapeutic use
  • Azithromycin / therapeutic use
  • Cells, Cultured
  • Contraindications
  • Diagnosis, Differential
  • Doxycycline / therapeutic use
  • Female
  • France / epidemiology
  • Global Health
  • Humans
  • Ixodidae / microbiology*
  • Lymphangitis / diagnosis
  • Lymphangitis / drug therapy
  • Lymphangitis / epidemiology
  • Lymphangitis / microbiology*
  • Lymphatic System / microbiology
  • Male
  • Mediterranean Region / epidemiology
  • Polymerase Chain Reaction / methods
  • Pregnancy
  • Pregnancy Complications, Infectious / drug therapy
  • Pregnancy Complications, Infectious / microbiology
  • Rickettsia / classification
  • Rickettsia / isolation & purification*
  • Rickettsia / pathogenicity
  • Rickettsia Infections / diagnosis
  • Rickettsia Infections / drug therapy
  • Rickettsia Infections / epidemiology
  • Rickettsia Infections / microbiology*
  • Rickettsia Infections / transmission
  • Serologic Tests / methods
  • Species Specificity
  • Tick Bites / complications
  • Tick Bites / microbiology*
  • Tick Infestations / epidemiology
  • Tick Infestations / parasitology
  • Tick Infestations / veterinary
  • Tick-Borne Diseases / diagnosis
  • Tick-Borne Diseases / drug therapy
  • Tick-Borne Diseases / epidemiology
  • Tick-Borne Diseases / microbiology*

Substances

  • Anti-Bacterial Agents
  • Azithromycin
  • Doxycycline