doi:10.2807/1560-7917.ES.2022.27.42.2200735engJakimovski, D.Mateska, S.Simin, V.Bogdan, I.Mijatovic, D.Estrada-Peña, A.Mateos-Hernández, L.Foucault-Simonin, A.Moutailler, S.Cabezas-Cruz, A.Banovic, P.Mediterranean spotted fever-like illness caused by Rickettsia sibirica mongolitimonae, North Macedonia, June 2022ART-2022-130868Mediterranean spotted fever-like illness (MSF-like illness) is a tick-borne disease caused by Rickettsia sibirica mongolitimonae first reported in France more than 25 years ago. Until today, more than 50 cases of MSF-like illness have been reported in different regions of Europe and Africa, highlighting variable clinical manifestation. Here we report a case of MSF-like illness following a bite from a Hyalomma tick in the Skopje region of North Macedonia.2022http://zaguan.unizar.es/record/12007210.2807/1560-7917.ES.2022.27.42.2200735http://zaguan.unizar.es/record/120072oai:zaguan.unizar.es:120072Eurosurveillance 27, 42 (2022), [4 pp.]byhttp://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccess