henselae in Korea, it is pertinent to raise awareness to physicians in other Asian countries that B. With an isolated case of SENLAT and a confirmation of B. Fine needle aspiration of the enlarged lymph nodes was performed, and results of nested PCR for the Bartonella internal transcribed spacer (ITS) confirmed B. 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. Symptoms occurred one week after hunting, and a lump was palpated on the right neck area 6 days after the onset of symptoms. 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. Case presentationĪ 58-year-old male sought medical advice while suffering from high fever and diarrhea. Only a few cases of SENLAT caused by Bartonella henselae have been reported.
![enlarged lymph node back of neck enlarged lymph node back of neck](https://i0.wp.com/www.natural-homeremedies.com/wp-content/uploads/2013/09/Lymphoma1.jpg)
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). 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.