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. (C) 2011 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.
- EMC MM-04-27-01