2022
DOI: 10.2807/1560-7917.es.2022.27.42.2200735
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Mediterranean spotted fever-like illness caused by Rickettsia sibirica mongolitimonae, North Macedonia, June 2022

Abstract: Mediterranean spotted fever-like illness (MSF-like illness) is a tick-borne disease caused by Rickettsia sibirica mongolitimonae first reported in France more than 25 years ago. Until today, more than 50 cases of MSF-like illness have been reported in different regions of Europe and Africa, highlighting variable clinical manifestation. Here we report a case of MSF-like illness following a bite from a Hyalomma tick in the Skopje region of North Macedonia.

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Cited by 8 publications
(6 citation statements)
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References 16 publications
(23 reference statements)
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“…Although I. ricinus is the main tick responsible for human infestations in both countries, Haemaphysalis inermis and Rhipicephalus sanguineus ticks are more commonly encountered on humans in North Macedonia (authors’ own observation), compared to Serbia [ 10 ]. In addition, there have been reports of human infestation by Hyalomma ticks in the Skopje region, while no such reports exist for northern Serbia [ 33 ]. Similar findings were reported in northeastern Greece, where Rhipicephalus spp.…”
Section: Discussionmentioning
confidence: 99%
“…Although I. ricinus is the main tick responsible for human infestations in both countries, Haemaphysalis inermis and Rhipicephalus sanguineus ticks are more commonly encountered on humans in North Macedonia (authors’ own observation), compared to Serbia [ 10 ]. In addition, there have been reports of human infestation by Hyalomma ticks in the Skopje region, while no such reports exist for northern Serbia [ 33 ]. Similar findings were reported in northeastern Greece, where Rhipicephalus spp.…”
Section: Discussionmentioning
confidence: 99%
“…Ticks have intricate ecological interactions with microorganisms present in their microbiota (Wu‐Chuang et al, 2021; Wu‐Chuang, Obregon, Estrada‐Peña, et al, 2022). Some of these microorganisms are considered human pathogens, such as Rickettsia sibirica mongolitimonae (Jakimovski et al, 2022). Ticks also harbour endosymbionts like Coxiella ‐like (Zhong, 2012) or Francisella ‐like endosymbionts (Duron et al, 2018), as well as commensal bacteria (Wu‐Chuang et al, 2021; Wu‐Chuang, Obregon, Estrada‐Peña, et al, 2022).…”
Section: Introductionmentioning
confidence: 99%
“…Capillary and venous blood samples were collected from skin lesions of Patient 1 and all family members, respectively, to identify bacteria and parasites associated with TBDs. Capillary blood samples were obtained by using a lancet, as described previously [ [34] , [35] , [36] ] [ [34] , [35] , [36] ] [ [34] , [35] , [36] ]. Considering the potential for any of the family members to be in the incubation period and possibly develop conditions requiring further medical attention, serum samples were also collected.…”
Section: Methodsmentioning
confidence: 99%