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Case Reports
. 2022 May;28(5):1068-1071.
doi: 10.3201/eid2805.211836.

Rare Case of Rickettsiosis Caused by Rickettsia monacensis, Portugal, 2021

Rita de Sousa, Marta Leal Dos Santos, Claudina Cruz, Vasco Almeida, Ana Raquel Garrote, Freddy Ramirez, Diana Seixas, Maria J Manata, Fernando Maltez
Case Reports

Rare Case of Rickettsiosis Caused by Rickettsia monacensis, Portugal, 2021

Rita de Sousa et al. Emerg Infect Dis. 2022 May.

Abstract

We report a case of rickettsiosis caused by Rickettsia monacensis in an immunocompetent 67-year-old man in Portugal who had eschar, erythematous rash, and an attached Ixodes ricinus tick. Seroconversion and eschar biopsy led to confirmed diagnosis by PCR. Physicians should be aware of this rare rickettsiosis, especially in geographic regions with the vector.

Keywords: IRS3; IRS4,IrR/Munich; IrITA2; IrITA3; Ixodes ricinus; Portugal; Rickettsia monacensis; bacteria; eschar; molecular detection; rash; rickettsia; rickettsiosis; tick-borne disease; ticks; vector-borne infections.

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Figures

Figure
Figure
Patient with rickettsiosis caused by Rickettsia monacensis, Portugal, 2021. A) Rash and eschar; B) rash on soles; C) rash on palms.
See this image and copyright information in PMC

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