Update on SENLAT syndrome: Scalp eschar and neck lymph adenopathy after a tick bite

作者：Foissac M; Socolovschi C; Raoult D^*

来源：Annales de Dermatologie et de Venereologie, 2013, 140(10): 598-609.

DOI：10.1016/j.annder.2013.07.014

• Cervical lymphadenopathy
• Cutaneous swab
• Dermacentor tick
• Doxycycline
• Rickettsia spp.
• Scalp eschar

SENLAT syndrome, also known as TIBOLA/DEBONEL, is an emerging disease in France. The major symptoms are necrotic eschar on the scalp associated with painful cervical lymphadenopathy. It occurs mainly in women and children during the cold seasons after a bite by a Dermacentor tick, responsible for transmitting Rickettsia slovaca or Rickettsia raoultii. Cutaneous swabs are safe, easy and reliable toots that should be used routinely by physicians to confirm diagnosis. In this particular disease, they should be preferred to serology, which is less sensitive. Doxycycline is the antibiotic of choice for this syndrome.

• 出版日期2013-10