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Vol. 17 - Num. 67

Clinical Reviews

TIBOLA: an emergent disease caused by tick bite

Felicidad Sanantonio Valdearcosa, MC Otero Reigadab

aPediatra. CS Vilamarxant. Valencia. España.
bServicio de Pediatría. Hospital Universitario La Fe. Valencia. España.

Correspondence: F Sanantonio. E-mail:

Reference of this article: Sanantonio Valdearcos F, Otero Reigada MC. TIBOLA: an emergent disease caused by tick bite. Rev Pediatr Aten Primaria. 2015;17:e193-e195.

Published in Internet: 10-07-2015 - Visits: 40155


Tick-borne diseases are rare in our environment. We describe a case of tick-borne lymphadenopathy (TIBOLA), an emergent disease caused by Rickettsia slovaca. The patients have a necrotic eschar on the scalp, at the site of a bite, fever and multiple occipital and/or cervical lymphadenopathies. The medium duration of incubation since the bite is seven days.

In the case of a patient with cervical adenitis and history of tick bite and/or eschar scalp, the diagnosis of TIBOLA is the most common.


Rickettsia slovaca TIBOLA Tick bites



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