Tick-borne lymphadenopathy (TIBOLA) is an infectious disease, mainly caused by species from the spotted fever group rickettsiae and is characterized by enlarged lymph nodes following a tick bite. Among cases of TIBOLA, a case of scalp eschar and neck lymphadenopathy after tick bite (SENLAT) is diagnosed when an eschar is present on the scalp, accompanied by peripheral lymphadenopathy (LAP). Only a few cases of SENLAT caused by Bartonella henselae have been reported. A 58-year-old male sought medical advice while suffering from high fever and diarrhea. Three weeks before the visit, he had been hunting a water deer, and upon bringing the deer home discovered a tick on his scalp area. Symptoms occurred one week after hunting, and a lump was palpated on the right neck area 6 days after the onset of symptoms. Physical examination upon presentation confirmed an eschar-like lesion on the right scalp area, and cervical palpation revealed that the lymph nodes on the right side were non-painful and enlarged at 2.5 × 1.5 cm. Fine needle aspiration of the enlarged lymph nodes was performed, and results of nested PCR for the Bartonella internal transcribed spacer (ITS) confirmed B. henselae as the causative agent. With an isolated case of SENLAT and a confirmation of B. henselae in Korea, it is pertinent to raise awareness to physicians in other Asian countries that B. henselae could be a causative agent for SENLAT.

中文翻译：

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韩国汉氏巴尔通体引起的tick虫咬伤后的头lymph和颈部淋巴结肿大（一例）。

ick传播的淋巴结病（TIBOLA）是一种传染病，主要由斑点发烧立克次体中的物种引起，其特征是following咬后淋巴结肿大。在TIBOLA病例中，当头皮上有焦char并伴有周围淋巴结病（LAP）时，诊断为tick咬后头皮焦es和颈部淋巴结病（SENLAT）。仅报告了由汉赛巴尔通体引起的SENLAT的少数病例。一名58岁的男性因高烧和腹泻而寻求医疗救助。拜访前三周，他一直在猎食一头水鹿，并将水鹿带回家后，在他的头皮区域发现了一个tick虫。狩猎后一周出现症状，症状发作六天后在右颈部触及肿块。体检时发现右头皮区域有骨样病变，宫颈触诊显示右侧淋巴结无痛，扩大了2.5×1.5 cm。对扩大的淋巴结进行细针抽吸，对Bartonella内部转录间隔区（ITS）进行巢式PCR的结果证实，汉森芽孢杆菌是病原体。鉴于韩国发生了SENLAT病例，并证实了汉氏双歧杆菌，因此有必要提高其他亚洲国家/地区医生的认识，即汉氏双歧杆菌可能是SENLAT的病原体。巴尔通体内部转录间隔区（ITS）的巢式PCR结果表明，亨氏芽孢杆菌是病原体。鉴于韩国发生了SENLAT病例，并证实了汉氏双歧杆菌，因此有必要提高其他亚洲国家/地区医生的认识，即汉氏双歧杆菌可能是SENLAT的病原体。巴尔通体内部转录间隔区（ITS）的巢式PCR结果表明，亨氏芽孢杆菌是病原体。鉴于韩国发生了SENLAT病例，并证实了汉氏双歧杆菌，因此有必要提高其他亚洲国家/地区医生的认识，即汉氏双歧杆菌可能是SENLAT的病原体。