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.

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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