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Arch Pediatr. 2011 May;18(5):565-7. doi: 10.1016/j.arcped.2011.02.018. Epub 2011 Apr 13.

[Dermohypodermitis on the face revealing TIBOLA].

[Article in French]

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Service de dermatologie et vénéréologie, CHU Dupuytren, 2, avenue Martin Luther King, 87042 Limoges cedex, France.
Service de maladies infectieuses et tropicales, CHU de Limoges, 87042 Limoges cedex, France.


Tick-borne lymphadenopathy (TIBOLA) is an emerging rickettsiosis in Europe, transmitted by the Dermacentor tick. This syndrome is defined as the association of an inoculation eschar on the scalp that may be surrounded by an erythema scalp, fever, and painful cervical lymphadenopathy in colder months. Children and women are at higher risk for TIBOLA. We report the case of a 9 year-old French child with an acute hemifacial edema and erythema revealing TIBOLA. Early empirical antibiotic therapy should be prescribed in any suspected TIBOLA, before confirmation of the diagnosis. The recommended treatment is doxycycline or macrolide.

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