Resumen: Mediterranean 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. Idioma: Inglés DOI: 10.2807/1560-7917.ES.2022.27.42.2200735 Año: 2022 Publicado en: Eurosurveillance 27, 42 (2022), [4 pp.] ISSN: 1025-496X Factor impacto JCR: 19.0 (2022) Categ. JCR: INFECTIOUS DISEASES rank: 5 / 96 = 0.052 (2022) - Q1 - T1 Factor impacto CITESCORE: 27.7 - Immunology and Microbiology (Q1) - Medicine (Q1)