There are some cases of SENLAT caused by B. Therefore, we consider the TIBOLA case with eschar on the scalp as SENLAT. Scalp eschar and neck lymphadenopathy after tick bite (SENLAT) occurs after a bite from a tick and key clinical features occur at the surface of the scalp and cervical lymph nodes.
Rickettsia slovaca, Rickettsia raoultii) and is characterized by enlarged lymph nodes following a tick bite. Tick-borne lymphadenopathy (TIBOLA) is an infectious disease, mainly caused by species from the spotted fever group rickettsiae (e.g. The infection is asymptomatic in cats, but for humans, it can result in symptoms or signs such as lymphadenopathy, red papules, fever, headache, malaise, and sometimes, in adults, fever of unknown origin (FUO). henselae, but cases from flea or tick bites have been reported. People usually contract the disease from cats infected by B. henselae could be a causative agent for SENLAT.īartonella henselae is a gram-negative, facultative, intracellular bacteria that can cause various diseases, including lymphadenopathy, bacteremia, bacillary angiomatosis, and bacillary peliosis. henselae in Korea, it is pertinent to raise awareness to physicians in other Asian countries that B. With an isolated case of SENLAT and a confirmation of B. Fine needle aspiration of the enlarged lymph nodes was performed, and results of nested PCR for the Bartonella internal transcribed spacer (ITS) confirmed B. Physical examination upon presentation confirmed an eschar-like lesion on the right scalp area, and cervical palpation revealed that the lymph nodes on the right side were non-painful and enlarged at 2.5 × 1.5 cm. Symptoms occurred one week after hunting, and a lump was palpated on the right neck area 6 days after the onset of symptoms. Three weeks before the visit, he had been hunting a water deer, and upon bringing the deer home discovered a tick on his scalp area. Case presentationĪ 58-year-old male sought medical advice while suffering from high fever and diarrhea.
Only a few cases of SENLAT caused by Bartonella henselae have been reported. Among cases of TIBOLA, a case of scalp eschar and neck lymphadenopathy after tick bite (SENLAT) is diagnosed when an eschar is present on the scalp, accompanied by peripheral lymphadenopathy (LAP). Tick-borne lymphadenopathy (TIBOLA) is an infectious disease, mainly caused by species from the spotted fever group rickettsiae and is characterized by enlarged lymph nodes following a tick bite.