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Pediatría Atención Primaria

Print version ISSN 1139-7632


MARTINEZ-CASTILLON, Diego; DOSTE-LARRULL, Divina Inmaculada; SANZ-CARDIEL, Alicia  and  RODRIGUEZ-MANAS, Jara. Rickettsia, a case of TIBOLA. Rev Pediatr Aten Primaria [online]. 2016, vol.18, n.70, pp.157-160. ISSN 1139-7632.

Rickettsia are gaining special importance following new species described in recent years. The most common in our environment is Rickettsia conorii infection, which produces the so-called Mediterranean fever boutonneuse. Recently it included more often in the differential diagnosis called TIBOLA (tick-borne lymphadenopathy) or DEBONEL (dermacentor-borne necrosis lymphadenopathy erythema), whose first serologic confirmation dates back to 1997 in France and is transmitted by the tick Dermacentor marginatus, produced by R. slovaca among others and with similar clinical features with the Mediterranean spotted fever.

The case of an 8 year-old who came to the Emergency Services with the presence of fever and scabby lesion, necrotic scalp and cervical lymphadenopathy of occipital and retroauricular location is presented, referring tick bite 15 days ago. The diagnosis is confirmed by clinical and serological tests conorii Rickettsia cross-presentation. After Erythromycin dose regimen of 40mg/kg/day for 8 days, progressive disappearance of lesions over a month evidence.

Keywords : Rickettsia; Lymphadenopathy; Dermatocentor.

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