Mediterranean spotted fever-like illness caused by Rickettsia sibirica mongolitimonae, North Macedonia, June 2022

Dejan Jakimovski; Sofija Mateska; Verica Simin; Ivana Bogdan; Dragana Mijatović; Agustín Estrada-Peña; Lourdes Mateos-Hernández; Angélique Foucault-Simonin; Sara Moutailler; Alejandro Cabezas-Cruz; Pavle Banović

doi:10.2807/1560-7917.ES.2022.27.42.2200735

Mediterranean spotted fever-like illness caused by Rickettsia sibirica mongolitimonae, North Macedonia, June 2022

Euro Surveill. 2022 Oct;27(42):2200735. doi: 10.2807/1560-7917.ES.2022.27.42.2200735.

Authors

Dejan Jakimovski^{1

2

3}, Sofija Mateska¹, Verica Simin⁴, Ivana Bogdan⁴, Dragana Mijatović⁵, Agustín Estrada-Peña^{6

7}, Lourdes Mateos-Hernández⁸, Angélique Foucault-Simonin⁸, Sara Moutailler⁸, Alejandro Cabezas-Cruz⁸, Pavle Banović^{5

9

3}

Affiliations

¹ University Clinic for Infectious Diseases and Febrile Conditions, Skopje, North Macedonia.
² Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, Skopje, North Macedonia.
³ These authors contributed equally.
⁴ Department for Microbiological and Other Diagnostics, Pasteur Institute Novi Sad, Novi Sad, Serbia.
⁵ Ambulance for Lyme Borreliosis and Other Tick-Borne Diseases, Department of Prevention of Rabies and Other Infectious Diseases, Pasteur Institute Novi Sad, Novi Sad, Serbia.
⁶ Department of Animal Health, Faculty of Veterinary Medicine, University of Zaragoza, Zaragoza, Spain.
⁷ Research Group in Emerging Zoonoses, Instituto Agroalimentario de Aragón-IA2 (Universidad de Zaragoza-CITA), Zaragoza, Spain.
⁸ ANSES, INRAE, Ecole Nationale Vétérinaire d'Alfort, UMR BIPAR, Laboratoire de Santé Animale, Maisons-Alfort, France.
⁹ Department of Microbiology with Parasitology and Immunology, Faculty of Medicine in Novi Sad, University of Novi Sad, Novi Sad, Serbia.

PMID: 36268740
PMCID: PMC9585876
DOI: 10.2807/1560-7917.ES.2022.27.42.2200735

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.

Keywords: Hyalomma; Mediterranean spotted fever-like illness; North Macedonia; Rickettsia sibirica mongolitimonae.

Publication types

Case Reports

MeSH terms

Animals
Boutonneuse Fever* / diagnosis
Humans
Republic of North Macedonia
Rickettsia Infections* / diagnosis
Rickettsia Infections* / microbiology
Rickettsia* / genetics

Supplementary concepts

Rickettsia sibirica