ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2014
Scalp eschar and neck lymphadenopathy after tick bite: an emerging syndrome with multiple causes.
Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 25 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- Rickettsiales in the WHO European Region: an update from a One Health perspective.Parasites & vectors · 2023Pooled it
- The Prevalence ofFrontiers in veterinary science · 2021Pooled it
- Tick-borne lymphadenopathy in northeastern France: a human and vector clinical-epidemiological study.Parasites & vectors · 2025Observational
- Forehead Erythematous Rash: A Rare Manifestation of Tick-Borne Lymphadenopathy (TIBOLA).Cureus · 2025Article
- Rickettsia sibirica mongolitimonae Infections in Spain and Case Review of the Literature.Emerging infectious diseases · 2025Review
- Vector-Borne Zoonotic Lymphadenitis-The Causative Agents, Epidemiology, Diagnostic Approach, and Therapeutic Possibilities-An Overview.Life (Basel, Switzerland) · 2024Review
- Tick-Borne Bacterial Diseases in Europe: Threats to public health.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024Review
- Investigating the pathogens associated withInternational journal for parasitology. Parasites and wildlife · 2024Article
- Scalp eschar and neck lymph adenopathy after a tick bite (SENLAT) in Tuscany, Italy (2015-2022).Infection · 2023Article
- Epidemiology of ZoonoticMicroorganisms · 2023Article
- Bacterial Agents Detected in 418 Ticks Removed from Humans during 2014-2021, France.Emerging infectious diseases · 2023Review
- Epidemiological, Clinical, and Microbiological Characteristics in a Large Series of Patients Affected byPathogens (Basel, Switzerland) · 2022Article
- Vector Surveillance and Pathogen Detection in the Working Areas of Military Working Dogs in Eastern Austria.Pathogens (Basel, Switzerland) · 2022Article
- Low Risk Perception about Ticks and Tick-Borne Diseases in an Area Recently Invaded by Ticks in Northwestern Italy.Veterinary sciences · 2021Article
- Article
- Lyme Borreliosis with Scalp Eschar Mimicking Rickettsial Infection, Austria.Emerging infectious diseases · 2020Article
- Scalp eschar and neck lymphadenopathy after tick bite (SENLAT) caused by Bartonella henselae in Korea: a case report.BMC infectious diseases · 2020Article
- Article
- A case with neurological abnormalities caused by Rickettsia raoultii in northwestern China.BMC infectious diseases · 2019Article
- The Rickettsioses: A Practical Update.Infectious disease clinics of North America · 2019Review
Corrections and comments
- Retracted
Authors and funding
5 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The clinical and epidemiological features of 56 patients with scalp eschar associated with neck lymphadenopathy after a tick bite (SENLAT) syndrome were evaluated at the National French Rickettsial Center. Eschar swabs, crusts, and biopsies as well as ticks and blood samples were acquired for molecular and serological assays. SENLAT predominantly affects children (p < 0.05), followed by 40- to 70-year-olds, and it is found mostly in women (p < 0.05). The seasonal distribution has two peaks: one in the spring (55%) and one in the autumn (30%). The etiological agent was identified in 18 cases, which include Rickettsia slovaca in 13 cases with incidences of two co-infections with Rickettsia raoultii and one case caused by Rickettsia sibirica mongolitimonae. Other possible agents that were found in attached ticks were Candidatus R. rioja, Coxiella burnetii, and Borrelia burgdorferi. The tick vector was Dermacentor marginatus in almost all cases, with the exception of one case, in which Ixodes ricinus was identified as the vector. Our findings show that SENLAT is a clinical entity characterized as a local infection controlled by the immune system and is neither pathogen- nor vector-specific.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.