2008年8月12日 星期二

TICK-BORNE LYMPHADENOPATHY - SPAIN: (CATALONIA)--簡稱TIBOLA

Investigators at the Autonomous University of Barcelona (UAB) [Spain]and of the Parc Tauli Hospital in Sabadell have detected more than 40cases of a rare infectious disease, which is transmitted by ticksthat feed on wild boars and which is primarily affecting children.......

Based on the information given, the information strongly suggests that the illness reported is tick-borne lymphadenopathy, a disease caused by Rickettsia slovaca with the tick vector being Dermacentor marginatus. Reported from Spain initially in 2004 (1) [see ProMED ref. at end], the infection had previously been reported from France (2) and Hungary (3), both in 1997.

References
1. Otto JA, Ibarra V, Blanco JR, et al: Dermacentor-borne necrosis erythema and lymphadenopathy: clinical and epidemiological features of a new tick-borne disease. Clin Microbiol Infect 2004;10: 327-331.

2. Raoult D, Berbis P, Roux V, et al: A new tick-transmitted disease due to Rickettsia slovaca. Lancet 1997;350: 112-113.

3. Lakos A: Tick-borne lymphadenopathy - a new rickettsial disease? Lancet 1997;350: 1006.

4. Raoult D, Lakos A, Fenollar F, et al: Spotless rickettsiosis caused by Rickettsia slovaca and associated with _Dermacentor_ ticks. Clin Infect Dis 2002;34: 1331-1336.

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