Foissac M, Socolovschi C, Raoult D
URMITE, UM63, UMR CNRS 7278, IRD 198, Inserm U1095, faculté de médecine, Aix-Marseille université, 27, boulevard Jean-Moulin, 13385 Marseille cedex 5, France.
Ann Dermatol Venereol. 2013 Aug-Sep;140(8-9):521-7. doi: 10.1016/j.annder.2013.04.096. Epub 2013 Jun 3.
Rickettsia sibirica mongolitimonae was first isolated 20 years ago in Asia but has now been identified on three continents. Hyalomma spp. and Rhipicephalus pusillus ticks are vectors but only a small number of cases have been reported to date, mainly on the Mediterranean coast. This bacterium induces the lymphangitis-associated rickettsiosis, a still unfamiliar rickettsiosis that is mainly characterized by fever with a rope-like lymphangitis and/or lymphadenopathy and skin eschar occurring after tick bites. These features are especially evocative if they occur in spring. Sequellae are very rare and treatment with doxycycline is recommended.
西伯利亚立克次体蒙古亚种于20年前在亚洲首次分离出来，但现在已在三大洲被发现。璃眼蜱属和微小扇头蜱是传播媒介，但迄今为止仅报告了少数病例，主要集中在地中海沿岸。这种细菌会引发与淋巴管炎相关的立克次体病，这是一种仍不为人熟知的立克次体病，主要特征为发热，并伴有条索状淋巴管炎和/或淋巴结病，以及蜱叮咬后出现的皮肤焦痂。如果这些症状出现在春季，则格外引人注意。后遗症非常罕见，建议使用强力霉素进行治疗。
