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Scalp eschar and neck lymph adenopathy after a tick bite (SENLAT) in Tuscany, Italy (2015–2022)
INTRODUCTION: The Scalp Eschar and Neck Lymph Adenopathy After a Tick Bite (SENLAT) syndrome is frequently caused by Rickettsia slovaca and Rickettsia raoultii. Only six microbiologically confirmed SENLAT cases have been reported in Italy between 1996 and 2021. We report ten cases of SENLAT seen bet...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Springer Berlin Heidelberg
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10665257/ https://www.ncbi.nlm.nih.gov/pubmed/37563481 http://dx.doi.org/10.1007/s15010-023-02079-8 |
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author | Barbiero, Anna Manciulli, Tommaso Spinicci, Michele Vellere, Iacopo Colao, Maria Grazia Rossolini, Gian Maria Bartoloni, Alessandro Raoult, Didier Zammarchi, Lorenzo |
author_facet | Barbiero, Anna Manciulli, Tommaso Spinicci, Michele Vellere, Iacopo Colao, Maria Grazia Rossolini, Gian Maria Bartoloni, Alessandro Raoult, Didier Zammarchi, Lorenzo |
author_sort | Barbiero, Anna |
collection | PubMed |
description | INTRODUCTION: The Scalp Eschar and Neck Lymph Adenopathy After a Tick Bite (SENLAT) syndrome is frequently caused by Rickettsia slovaca and Rickettsia raoultii. Only six microbiologically confirmed SENLAT cases have been reported in Italy between 1996 and 2021. We report ten cases of SENLAT seen between 2015 and 2022 in a tertiary care center in Tuscany, Italy. CASES PRESENTATION: All patients were women; most common symptoms were scalp eschar on the site of tick bite (100%) and cervical lymphadenopathy (90%). No microbiological identification was obtained. Persistent alopecia, for several months to years, was observed in four patients. The known difficulty of microbiological diagnosis in SENLAT was worsened, in our cases, by factors as the absence of ticks available for identification and microbiological study, and antibiotic treatment administration previous to microbiological tests. CONCLUSION: The report highlights the presence of SENLAT in Italy, aiming to raise the awareness toward the emergence of this clinical entity. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s15010-023-02079-8. |
format | Online Article Text |
id | pubmed-10665257 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-106652572023-08-11 Scalp eschar and neck lymph adenopathy after a tick bite (SENLAT) in Tuscany, Italy (2015–2022) Barbiero, Anna Manciulli, Tommaso Spinicci, Michele Vellere, Iacopo Colao, Maria Grazia Rossolini, Gian Maria Bartoloni, Alessandro Raoult, Didier Zammarchi, Lorenzo Infection Case Report INTRODUCTION: The Scalp Eschar and Neck Lymph Adenopathy After a Tick Bite (SENLAT) syndrome is frequently caused by Rickettsia slovaca and Rickettsia raoultii. Only six microbiologically confirmed SENLAT cases have been reported in Italy between 1996 and 2021. We report ten cases of SENLAT seen between 2015 and 2022 in a tertiary care center in Tuscany, Italy. CASES PRESENTATION: All patients were women; most common symptoms were scalp eschar on the site of tick bite (100%) and cervical lymphadenopathy (90%). No microbiological identification was obtained. Persistent alopecia, for several months to years, was observed in four patients. The known difficulty of microbiological diagnosis in SENLAT was worsened, in our cases, by factors as the absence of ticks available for identification and microbiological study, and antibiotic treatment administration previous to microbiological tests. CONCLUSION: The report highlights the presence of SENLAT in Italy, aiming to raise the awareness toward the emergence of this clinical entity. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s15010-023-02079-8. Springer Berlin Heidelberg 2023-08-11 2023 /pmc/articles/PMC10665257/ /pubmed/37563481 http://dx.doi.org/10.1007/s15010-023-02079-8 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Case Report Barbiero, Anna Manciulli, Tommaso Spinicci, Michele Vellere, Iacopo Colao, Maria Grazia Rossolini, Gian Maria Bartoloni, Alessandro Raoult, Didier Zammarchi, Lorenzo Scalp eschar and neck lymph adenopathy after a tick bite (SENLAT) in Tuscany, Italy (2015–2022) |
title | Scalp eschar and neck lymph adenopathy after a tick bite (SENLAT) in Tuscany, Italy (2015–2022) |
title_full | Scalp eschar and neck lymph adenopathy after a tick bite (SENLAT) in Tuscany, Italy (2015–2022) |
title_fullStr | Scalp eschar and neck lymph adenopathy after a tick bite (SENLAT) in Tuscany, Italy (2015–2022) |
title_full_unstemmed | Scalp eschar and neck lymph adenopathy after a tick bite (SENLAT) in Tuscany, Italy (2015–2022) |
title_short | Scalp eschar and neck lymph adenopathy after a tick bite (SENLAT) in Tuscany, Italy (2015–2022) |
title_sort | scalp eschar and neck lymph adenopathy after a tick bite (senlat) in tuscany, italy (2015–2022) |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10665257/ https://www.ncbi.nlm.nih.gov/pubmed/37563481 http://dx.doi.org/10.1007/s15010-023-02079-8 |
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