Introduction: In 25 to 35% of cases, the aetiological agent of scalp eschar and neck lymphadenopathy after a tick bite remains undetermined. To date, Rickettsia slovaca, Rickettsia raoultii and more recently Bartonella henselae have been associated with this syndrome.
Case Presentation: A four-year-old Caucasian boy was admitted to hospital with fever, vomiting and abdominal pain.