150753 20251017144650.0 doi 10.3201/eid3101.240151 sideral 142697 ART-2025-142697 eng Santibáñez, Sonia Rickettsia sibirica mongolitimonae Infections in Spain and Case Review of the Literature 2025 Access copy available to the general public Unrestricted Rickettsia sibirica mongolitimonae is an emerging cause of tickborne rickettsiosis. Since the bacterium was first documented as a human pathogen in 1996, a total of 69 patients with this infection have been reported in the literature. Because of the rising rate of R. sibirica mongolitimonae infection cases, we evaluated the epidemiologic and clinical features of 29 patients who had R. sibirica mongolitimonae infections confirmed during 2007–2024 at the Center for Rickettsiosis and Arthropod-Borne Diseases, the reference laboratory of San Pedro University Hospital–Center for Biomedical Research of La Rioja, Logroño, Spain. We also reviewed all cases published in the literature during 1996–2024, evaluating features of 94 cases of R. sibirica mongolitimonae infection (89 in Europe, 4 in Africa, and 1 in Asia). Clinicians should consider R. sibirica mongolitimonae as a potential causative agent of rickettsiosis, and doxycycline should be administered promptly to avoid clinical complications. info:eu-repo/semantics/openAccess by https://creativecommons.org/licenses/by/4.0/deed.es info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Ramos-Rincón, José Manuel Santibáñez, Paula Cervera-Acedo,Cristina Sanjoaquín, Isabel Universidad de Zaragoza (orcid)0000-0003-1436-4334 Ramírez de Arellano, Encarnación Guillén, Sara Lozano, María del Carmen Llorente, Marta Puerta-Peña, Mario Bularca, Elena Aura Universidad de Zaragoza González-Praetorius, Alejandro Escribano, Isabel Sánchez, Lorenzo Ibarra, Valvanera Alba, Jorge Palomar, Ana M. Beltrán, Antonio Portillo, Aránzazu Oteo, José A. 1007 610 Universidad de Zaragoza Dpto. Medicina, Psiqu. y Derm. Area Medicina 1007 183 Universidad de Zaragoza Dpto. Medicina, Psiqu. y Derm. Área Dermatología 31, 1 (2025), 18-26 Emerg. infect. dis. Emerging Infectious Diseases 1080-6040 1569095 http://zaguan.unizar.es/record/150753/files/texto_completo.pdf Versión publicada 2288357 http://zaguan.unizar.es/record/150753/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:150753 articulos driver 2025-10-17-14:36:00 ARTICLE