We report the first case of rickettsialpox caused by Rickettsia akari in the Netherlands. The diagnosis was suspected based on clinical grounds and was confirmed by Western blot analysis with cross-adsorption. Because the arthropod vector (Liponyssoides sanguineus) is ubiquitous, we suspect that the disease is under-diagnosed in non-endemic areas.

Emerging disease, Netherlands, Rickettsia akari, Rickettsialpox
dx.doi.org/10.1016/j.ijid.2011.11.009, hdl.handle.net/1765/39192
International Journal of Infectious Diseases
Erasmus MC: University Medical Center Rotterdam

Renvoisé, A, van 't Wout, J.W, van der Schroeff, J.G, Beersma, M.F.C, & Raoult, D. (2012). A case of rickettsialpox in Northern Europe. International Journal of Infectious Diseases, 16(3). doi:10.1016/j.ijid.2011.11.009