The Case of Tick-borne Spotted Fever in a Child Arriving from the Crimea

A case of Tick-borne spotted fever in a child after a visit to an endemic region, the Republic of Crimea, is described. The disease caused difficulty in terms of clinical diagnosis, which led to the delayed prescription of specific therapy with doxycycline. The diagnosis of Тick-borne spotted fever was made on the basis of detectingR. conoriiDNA in a washout with primary affect. In the course of the disease, IgM class antibodies were detected during serological analysis of paired serum.