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- Rickettsia slovaca infection in humans, PortugalPublication . Sousa, R.; Pereira, B. I.; Nazareth, C.; Cabral, S.; Ventura, C.; Crespo, P.; Marques, N.; Cunha, S.Fifteen years after the initial detection of Rickettsia slovaca in ticks in Portugal, 3 autochthonous cases of R. slovaca infection were diagnosed in humans. All patients had an eschar on the scalp and lymphadenopathy; 2 patients had facial edema. R. slovaca infection was confirmed by serologic testing, culture, and PCR.