Skin ulceration and inguinal lymphadenopathy as a symptom of a rare tick-borne disease

Justyna Janocha-Litwin; Anna Szymanek-Pasternak; Katarzyna Zacharczuk; Natalia Wolaniuk; Magdalena Śliwińska; Krzysztof Simon

doi:10.5114/ada.2022.115892

eISSN: 2299-0046
ISSN: 1642-395X

Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii

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abstract:

Letter to the Editor

Skin ulceration and inguinal lymphadenopathy as a symptom of a rare tick-borne disease

Justyna Janocha-Litwin

^{1, 2, 3}

,

Anna Szymanek-Pasternak

^{1, 2, 3}

,

Katarzyna Zacharczuk

⁴

,

Natalia Wolaniuk

⁴

,

Magdalena Śliwińska

⁵

,

Krzysztof Simon

^{1, 2}

Department of Infectious Diseases and Hepatology, Wroclaw Medical University, Wroclaw, Poland
1st Department of Infectious Diseases, Regional Specialist Hospital, Wroclaw, Poland
Novum Clinic, Kiełczów/Wroclaw, Poland
Department of Bacteriology and Biocontamination Control, National Institute of Public Health – National Institute of Hygiene, Warsaw, Poland
Department of Diagnostic Imaging and Radiology, Regional Specialist Hospital, Wroclaw, Poland

Adv Dermatol Allergol 2022; XXXIX (2): 407-409

DOI: https://doi.org/10.5114/ada.2022.115892

Online publish date: 2022/05/09

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AMA

Janocha-Litwin J, Szymanek-Pasternak A, Zacharczuk K, Wolaniuk N, Śliwińska M, Simon K. Skin ulceration and inguinal lymphadenopathy as a symptom of a rare tick-borne disease. Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii. 2022;39(2):401-406. doi:10.5114/ada.2022.115892.

APA

Janocha-Litwin, J., Szymanek-Pasternak, A., Zacharczuk, K., Wolaniuk, N., Śliwińska, M.,  & Simon, K. (2022). Skin ulceration and inguinal lymphadenopathy as a symptom of a rare tick-borne disease. Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii, 39(2), 401-406. https://doi.org/10.5114/ada.2022.115892

Chicago

Janocha-Litwin, Justyna, Anna Szymanek-Pasternak, Katarzyna Zacharczuk, Natalia Wolaniuk, Magdalena Śliwińska,  and Krzysztof Simon. 2022. "Skin ulceration and inguinal lymphadenopathy as a symptom of a rare tick-borne disease". Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii 39 (2): 401-406. doi:10.5114/ada.2022.115892.

Harvard

Janocha-Litwin, J., Szymanek-Pasternak, A., Zacharczuk, K., Wolaniuk, N., Śliwińska, M.,  and Simon, K. (2022). Skin ulceration and inguinal lymphadenopathy as a symptom of a rare tick-borne disease. Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii, 39(2), pp.401-406. https://doi.org/10.5114/ada.2022.115892

MLA

Janocha-Litwin, Justyna et al. "Skin ulceration and inguinal lymphadenopathy as a symptom of a rare tick-borne disease." Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii, vol. 39, no. 2, 2022, pp. 401-406. doi:10.5114/ada.2022.115892.

Vancouver

Janocha-Litwin J, Szymanek-Pasternak A, Zacharczuk K, Wolaniuk N, Śliwińska M, Simon K. Skin ulceration and inguinal lymphadenopathy as a symptom of a rare tick-borne disease. Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii. 2022;39(2):401-406. doi:10.5114/ada.2022.115892.

A 69-year-old man with suspected Lyme disease visited an infectious disease specialist in the outpatient clinic. 3 weeks earlier, he felt a painful bite in his left buttock, caused by a tick that was later removed. After several days, significant weakness, drowsiness, chills and muscle pains occurred, followed by a 2 cm red inflammatory infiltration appearing in the location of the bite with crust over the ulceration and enlarged left inguinal lymph nodes (Figure 1 A).

Skin ulceration and inguinal lymphadenopathy as a symptom of a rare tick-borne disease

Justyna Janocha-Litwin 1, 2, 3 , Anna Szymanek-Pasternak 1, 2, 3 , Katarzyna Zacharczuk 4 , Natalia Wolaniuk 4 , Magdalena Śliwińska 5 , Krzysztof Simon 1, 2

Justyna Janocha-Litwin

^{1, 2, 3}

,

Anna Szymanek-Pasternak

^{1, 2, 3}

,

Katarzyna Zacharczuk

⁴

,

Natalia Wolaniuk

⁴

,

Magdalena Śliwińska

⁵

,

Krzysztof Simon

^{1, 2}