• Przegl Epidemiol · Jan 2011

    Case Reports

    [Case of TIBOLA/DEBONEL (tick - borne lymphadenopathy/Dermacentor spp. - borne necrosis - erythema - lymphadenopathy) in Poland].

    • Tomasz Chmielewski, Dorota Rudzka, Beata Fiecek, Ilona Maczka, and Stanisława Tylewska-Wierzbanowska.
    • Samodzielna Pracownia Riketsji, Chlamydii i Kretków Odzwierzecych, Narodowy Instytut Zdrowia Publicznego - Państwowy Zakład Higieny w Warszawie. tchmielewski@pzh.gov.pl
    • Przegl Epidemiol. 2011 Jan 1; 65 (4): 583-6.

    AbstractRickettsia slovaca was recognized as the causative agent of the disease named tick - borne lymphadenopathy (TIBOLA) or Dermacentor spp.- borne necrosis - erythema lymphadenopathy (DEBONEL). Generally, this ricketsiosis is considered a mild disease but the disease is considered a mild rickettsiosis, but severe symptoms can appeare, especially in untreated patients. Described infection is the first case of TIBOLA/DEBONEL found in Poland. The patient had typical symptoms, such as enlarged painful cervical lymph nodes and maculo - papular rash. Milium on the scalp behind the ear concha, was a probably scar formation associated with typical eschar. The diagnosis was confirmed by detection of 128 titer in MIF tests with R. rickettsii and R. slovaca antigens and four-fold decrease after treatment.

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