The phytoene formation process is conserved in various C40 carote

The phytoene formation process is conserved in various C40 carotenogenesis pathways. That is, the head-to-head condensation of two molecules of geranylgeranyl diphosphate (C20PP) is catalyzed by phytoene synthase (CrtB; Lang et al., 1994; Umeno et al., 2005). Phytoene is then sequentially desaturated by phytoene desaturase (CrtI). Different degrees of desaturation form carotenoids with different lengths of conjugated double bonds. Neurosporene with nine conjugated double bonds, lycopene with 11 conjugated double bonds, and didehydrolycopene

with 13 conjugated double bonds are produced, respectively, by three-, four-, and five-step -phytoene desaturations (Sandmann, 2009). These three products of CrtI are very important intermediates selleck kinase inhibitor Vemurafenib supplier leading to different carotenogenesis pathways in different organisms. Thus, controlling and altering the desaturation step number is important in reconstructing carotenogenesis pathways (Garcia-Asua et al., 1998; Umeno et al., 2005). Phytoene desaturase may be divided into two types: the CrtI-type in nonoxygenic bacteria and the Pds/CrtP-type in oxygenic photosynthetic organisms (Sandmann, 2009). In purple photosynthetic bacteria, CrtI generally catalyzes three types

of desaturation in different carotenogenesis pathways. These types include three-step, four-step, and both three- and four-step phytoene desaturations (Takaichi, 2008). In purple nonsulfur alphaproteobacteria Rhodobacter sphaeroides and Rhodobacter capsulatus, CrtI catalyzes the three-step phytoene desaturation to produce neurosporene. The subsequent hydration, desaturation, methylation, and oxygenation steps catalyzed, respectively, by CrtC, CrtD, CrtF, and CrtA enzymes lead to the synthesis of spheroidene and spheroidenone (Armstrong et al., 1989; Lang et al., 1995). In the purple sulfur gammaproteobacterium Thiocapsa roseopersicina, CrtI catalyzes the four-step phytoene desaturation

to produce lycopene. The subsequent hydration, desaturation, and methylation steps catalyzed, respectively, by CrtC, CrtD, and CrtF enzymes lead to the synthesis of spirilloxanthin (Kovacs et al., 2003). In the purple nonsulfur betaproteobacterium Rubrivivax gelatinosus, CrtI catalyzes both three- and four-step phytoene desaturations to produce neurosporene Arachidonate 15-lipoxygenase and lycopene, respectively. Spheroidene, hydroxyspheroidene, and small amounts of spirilloxanthin are synthesized after the abovementioned similar modification steps (Harada et al., 2001). Rhodobacter azotoformans is a purple nonsulfur photosynthetic bacterium first reported by (Hiraishi et al., 1995). Differences were found in carbon source utilization and terminal oxidant utilization in anaerobic darkness and 16S rRNA gene sequences between Rba. azotoformans and Rba. sphaeroides (Hiraishi et al., 1996). So far, no report is available about the carotenogenesis gene cluster and related enzymes of Rba. azotoformans.

, 2002) Although the cell wall binding domain might be essential

, 2002). Although the cell wall binding domain might be essential for the enzyme’s lytic activity, some endolysins were reported to exhibit higher antibacterial activity after removal of their C-terminal domains (Borysowski BYL719 et al., 2006). The mechanism of cell wall substrate recognition and the specificity and binding ability of the endolysins have been studied. Significant progress has been made using endolysins linked with green fluorescent protein (GFP). The specific

binding of endolysins to the cell wall substrate has been visualized by fluorescence microscopy (Loessner et al., 2002; Low et al., 2005; Korndoerfer et al., 2006; Briers et al., 2007). Corynephage BFK20, a lytic phage of the industrial producer

Brevibacterium flavum CCM 251, is the first corynephage whose genome was completely sequenced and analyzed (EMBL accession no. AJ278322) (Bukovska et al., 2006). Using a bioinformatics approach, three potential lytic genes in one cluster were identified on the BFK20 genome. In this study, we characterized BFK20 endolysin (gp24′) in detail. We have confirmed the two-domain structure PLX4032 mouse of this endolysin. The catalytic and cell wall binding domains were separately cloned, isolated and characterized. The biological activities of BFK20 endolysin and its catalytic domain were demonstrated. The C-terminal cell wall binding domain appears to be unrelated to any of the previously known cell wall binding domains. Amino acid sequences of endolysins were searched using blastp (Altschul et al., 1997) on the nonredundant database using the sequence of gp24′ as the query. We selected those sequences with E-values over 9e−07 and one sequence from Corynebacterium diphtheriae NCTC 13129 with an E-value 3e−04. These sequences were aligned using clustalw2 (Thompson et al., 1994) and manually adjusted. A domain search was performed against the Pfam databases (Bateman et al., 2004). The bacterial strains used in this study were B. flavum CCM 251 (an l-lysine production strain), B. flavum strains ATCC

21127, 21128, 21129 and 21474, Brevibacterium DOCK10 lactofermentum BLOB (a mutant derived from B. lactofermentum ATCC 21798) (Santamaria et al., 1984), Corynebacterium glutamicum RM3 (Schäfer et al., 1990) and Bacillus subtilis wt PY79 (Youngman et al., 1984). Escherichia coli XL1 Blue (Stratagene) was used for cloning experiments and E. coli BL21(DE3) (Novagen) was used as a host for the expression of recombinant proteins. Escherichia coli strains were grown at 37 °C, and corynebacteria and bacilli were grown at 30 °C in Luria–Bertani medium (Sambrook & Russel, 2001). Corynephage BFK20 was propagated on B. flavum CCM 251 according to Bukovska et al. (2006). BFK20 phage particle isolation and phage DNA purification were performed according to Sambrook & Russell (2001).

Up to 100 μg mL−1, the growth yield was leucine limited, but the

Up to 100 μg mL−1, the growth yield was leucine limited, but the addition of higher concentrations did not lead to a further increase in the growth yield. The about 30% lower growth yield compared with the prototrophic strain remained unexplained, but the example underscores that growth in microtiter plates greatly facilitates the characterization of mutants. A further application of the growth in microtiter plates is the elucidation of biological functions of genes via the phenotypic comparison of wild type and mutants under many different conditions.

One project of our group is the characterization of the biological roles of sRNAs in H. volcanii, which is performed in collaboration with the group of Anita Marchfelder (University of Ulm, Germany). More than 100 sRNA genes have Selleck PLX4720 been discovered by check details RNomics (Straub et al., 2009), bioinformatic predictions, followed by experimental validation (Babski et al., 2011), high-throughput sequencing (A. Marchfelder, unpublished data) and affinity isolation in a complex together with the haloarchaeal Lsm protein (Fischer et al., 2010). To elucidate the function of selected sRNAs, about 30 deletion mutants have been generated, and the construction of further mutants is under way. For their phenotypic characterization, batches of eight mutants,

the wild type and a uninoculated negative control were grown on six microtiter plates in parallel, allowing phenotypic characterization under 12 different conditions (e.g. various carbon sources, various NaCl concentrations, several stress conditions) with triplicate cultures. The power of this approach is exemplified by comparison of the growth curves of eight mutants with the wild type with xylose as the sole carbon and energy source (Fig. 6). Identification of the sRNAs, their sizes and their sequences has been published recently (Straub et al., Dichloromethane dehalogenase 2009). Five of the mutants had indistinguishable growth curves (deletion mutants of sRNA genes 63, 132, 235, 288 and 308). In this experiment, the

wild type grew slightly slower than these mutants, but the difference was not significant. Two sRNA deletion mutants clearly grew slower than the wild type and the majority of mutants (deletion mutants of sRNAs 168 and 500). Surprisingly, also, one mutant, the deletion mutant of sRNA194, was found to grow considerably faster than the wild type. While the generation and characterization of the sRNA mutants will be published separately, Fig. 6 clearly exemplifies that growth in microtiter plates enables middle- or high-throughput mutant characterization for functional genomic studies with H. volcanii, which would otherwise be impossible. In parallel to this study, an alternative phenotyping approach with H. volcanii has been developed (Blaby et al., 2010). A Bioscreen C apparatus was used that allowed parallel culturing of H. volcanii in a 100-well microtiter plate.

If KAP were assessed using reliable, consistent instruments prior

If KAP were assessed using reliable, consistent instruments prior to and after travel to mass gatherings, and selleck products observational and behavioral studies of actual protective behaviors were conducted during gatherings, it would be possible to better determine the effectiveness of protective behaviors, and which factors predict protective behaviors during travel. The results from these types of studies could then be used to develop evidence-based interventions to help prepare

for future pandemics. The authors state they have no conflicts of interest to declare. “
“Although there have been recent advances in the development of photoprotective clothing and broad-spectrum sunscreens, few peer-reviewed publications have focused on photoprotection recommendations for travelers.

In order to describe the adverse health effects of excessive ultraviolet (UV) radiation exposures; review recent Roxadustat studies of public perceptions regarding photoprotection and sun exposure behaviors; identify special populations at increased risks of drug-induced photosensitivity reactions and UV-induced skin cancers; and recommend several effective photoprotection strategies for travelers, Internet search engines were queried with the key words as search terms to examine the latest references on photoprotection and the epidemiology of UV-associated skin cancers. Observational studies have demonstrated

that the public knows little about proper sunscreen protection, selection, and use, and often abuses sunscreens for intentional UV overexposures. Cohort studies have identified special populations at increased risks of UV-associated skin cancers without the proper use of sunscreens and photoprotective clothing including children, fair-skinned persons, patients taking photosensitizing drugs, and Lenvatinib organ transplant recipients (OTRs). Clinical investigations support the regular use of broad-spectrum sunscreens to prevent the development of premalignant actinic keratoses (AK) in all sun-exposed subjects, especially OTRs; to prevent the development of squamous cell carcinomas from new AK in sun-exposed subjects, especially OTRs; to possibly prevent the development of cutaneous malignant melanomas in children and adults; and to possibly prevent the development of basal cell carcinomas in OTRs. Recommended photoprotection strategies for travelers should include avoiding intense sunlight, wearing photoprotective clothing, wearing sunglasses, and selecting the right sunscreen for their skin type. Travel medicine practitioners should counsel travelers about photoprotection and encourage travelers to take advantage of recent advances in the development of more effective broad-spectrum sunscreens and photoprotective clothing for themselves and their children.

Women’s needs should be considered when developing evidence-based

Women’s needs should be considered when developing evidence-based information on weight. Excess weight places them at high risk of diabetes and cardiovascular disease, infertility and complications following pregnancy and giving birth. Women are also an important population group because they influence decision-making around meal choices for their families and are the biggest consumers of weight-loss products, many of which can be purchased in pharmacies. Pharmacies are readily accessible primary healthcare locations and given the pharmacist’s expertise in being able to recognise

underlying causes of obesity (e.g. medications, certain disease states), HDAC phosphorylation pharmacies are an ideal location to provide women with evidence-based information on all facets of weight management. Considering the exponential rise in the use of the World Wide Web, this information could be delivered as an online educational resource supported by other flexible formats. The time has come for the development of an online, evidence-based educational resource on weight management, which is combined with other flexible formats and targeted at women in general and according to different phases of their lives (pregnancy, post-partum, menopause). By empowering

women with this knowledge it will allow them and their families to take better control of their health and wellbeing, and it may just be the much needed answer to complement already existing resources to help curb the obesity epidemic. “
“The objective of this research was to explore pharmacists’ knowledge

of, experiences Metabolism inhibitor with and perception of factors interfering with their ability to provide non-prescription emergency contraceptive pill consultations in the Canadian province of Nova Scotia. A self-administered paper questionnaire was mailed, using Dillman’s tailored design method, to all pharmacists (n = 1123) registered with the Nova Scotia College of Pharmacists. from The response rate was 53.0% (595/1123), with 451 respondents working in community practice. Most respondents reported that they had provided consultations for the emergency contraceptive product Plan B since it became available without a prescription (93.6%), and that Plan B is kept behind the pharmacy counter (83.6%). Pharmacists most frequently (47.8%) reported spending 6–10 min providing Plan B consultations. Respondents were generally knowledgeable about Plan B; however, only 39.2% knew that it can be effective for up to 5 days and 69.3% knew that the incidence of vomiting is less than 50%. The factors interfering the most with providing Plan B consultations were lack of privacy (46.1%) and lack of staff to cover during the consultation (50.9%). In general, Nova Scotia pharmacists are knowledgeable about emergency contraceptive pills; however, education regarding effective timing for use of such pills would be helpful.

Aptly termed periplasmic ‘vacuum cleaners’ (Lomovskaya et al, 20

Aptly termed periplasmic ‘vacuum cleaners’ (Lomovskaya et al., 2007), the broad specificity for AcrAB-TolC varies from hydrophilic to hydrophobic, and includes bile salts, antibiotics, ethidium bromide, sodium dodecyl sulfate (SDS), and

crystal violet (Pos, 2009). The substrates of AcrEF-TolC are similar to that of AcrAB-TolC, learn more while AcrDA-TolC confers resistance to more hydrophilic substances such as SDS and aminoglycoside antibiotics (Elkins & Nikaido, 2002). MdtF substrates include fluoroquinolones, macrolides, oxacillin, novobiocin, and ethidium bromide (Bohnert et al., 2007). Complexed with MFP protein MdtA and OMF protein MdtB, the RND pair MdtBC (YegNO) can shuttle out bile salts, norfloxacin, and kanamycin, among others (Baranova & Nikaido, 2002). Other RND-type transporters are involved in conferring resistance to metals such as copper, zinc, cadmium,

and gold (Nies, 2003; Pontel et al., 2007). Escherichia coli possesses the cusCFBA determinant, which is proposed to extrude copper and silver from the periplasm to the extracellular environment (Franke et al., 2003). The inner membrane RND protein CusA interacts with both the MFP CusB and the OMF CusC. Additionally, the small periplasmic protein CusF binds copper and silver (Kittleson et al., 2006) and subsequently transfers it to CusB (Bagai et al., 2008). Several essential, conserved methionine residues have been identified both in CusB and in CusA (Franke et al., 2003; Bagai et al., see more 2008). The recently discovered gold-efflux determinant gesABC in Salmonella encodes the inner-membrane RND transporter GesB, the membrane-fusion

protein GesA, and the OMF GesC. GesABC is able to pump organic molecules including methylene blue and crystal violet, after induction by gold ions (Pontel et al., 2007). The OMF GesC can be substituted Unoprostone by TolC, and so gesAB alone can be functionally expressed in E. coli (Nishino et al., 2006). Here, three strains of E. coli with different gene deletions encoding RND transporters were transformed with plasmids containing cusCFBA and gesAB and tested for sensitivity to approximately 240 chemicals. Following initial screening, select compounds were tested further on liquid and solid media. While GesAB was shown to have broad substrate specificity typical for other RND-type systems, the CusCFBA was found to have limited substrate specificity. The strains and plasmids used in this study are listed in Table 1. Escherichia coli strains were grown in Luria–Bertani (LB) broth at 37 °C. To determine substrates of the efflux pumps, strains were grown overnight from a single colony, diluted, and tested for growth as described below. All experiments were performed at least three times. Antibiotic concentrations for ampicillin were 100 μg mL−1. Biolog (Biolog Inc., Hayward, CA) has developed a rapid screen to determine the phenotypic classifications of bacteria and fungi.

The 12 most extreme cases, with only 0–4 HMM detections over 1051

The 12 most extreme cases, with only 0–4 HMM detections over 1051–1808 bp, were all identified as taxonomic misclassifications and represented eukaryotic 18S rather than bacterial or archaeal 16S sequences. This prevented detection by the domain-specific HMMs, although some HMMs that were designed at highly conserved regions were able to perform detections across taxonomic domains. Among the 92 less extreme cases, with 6 to 9 HMM detections over 900–1504 bp, most sequences (i.e. 75 cases) contained a sequence segment at either the 5′ or

the 3′ end that did not match any entry in GenBank, as assessed through blast. We extracted these segments from 15 entries and subjected them to a separate blast analysis. In 11 cases, the segment alone showed no reasonable match to any entry in GenBank, indicating that the segment probably represents erroneous sequence information. see more In the other four cases, the segment matched entries other than the matches from the full blast search, indicating that the entire sequence is probably chimeric. Eight sequences were chimeric, which might have reduced the number of HMM detections per read length equivalent. It is noteworthy in this case that most cases (76 out of 92) were Ipilimumab flagged as being potentially chimeric in the SILVA database (average SILVA pintail score of 1.7%). In conclusion, the software showed extremely high detection reliability and flagged sequences

containing anomalies that can be detected by the algorithm such as reverse complementary chimeras or non-16S sequence information. Automated detection of the sequence

orientation might be particularly useful for environmental sequence data sets generated by high-throughput sequencing (HTS) techniques. However, the reduced length might affect detection reliability and speed could be a limiting factor in processing millions of reads in a reasonable time. In order to assess the performance of v-revcomp on HTS data, we extracted 332 835 and 13 876 V1-V2 subregions as well as 332 799 and 13 870 V1-V3 very subregions from the bacterial and archaeal SILVA datasets using v-xtractor 2.0 (Hartmann et al., 2010). These two datasets simulate sequence lengths approximately equivalent to lengths generated by the current HTS platforms (V1-V2, 261±18 bp) and lengths that will likely be reached by the next-generation of HTS platforms (V1-V3, 481±22 bp). The bacterial V1-V2 and V1-V3 datasets were processed in 18 and 37 min, respectively, whereas both archaeal datasets took around 1 min. All sequences were given in the correct orientation, but five V1-V3 or four V1-V2 were flagged as containing one reverse complementary HMM detection. These were cases already flagged in the full-length dataset. In conclusion, the tool performed well also for the short sequence reads characteristic of HTS datasets. The processing time increases linearly with the number of sequences and the million reads obtained from a full round of 454 pyrosequencing is processed in around one hour.

Furthermore, in contrast to earlier theoretical studies, this per

Furthermore, in contrast to earlier theoretical studies, this persistent firing is independent of ionotropic glutamatergic synaptic transmission and is supported by the calcium-activated non-selective cationic current. Because cholinergic receptor activation is crucial for short-term memory tasks,

persistent firing in individual cells may support short-term information retention in the hippocampal CA3 region. “
“Neocortical networks produce oscillations that often correspond to characteristic physiological or pathological patterns. However, the mechanisms underlying the generation of and the transitions between such oscillatory states remain poorly understood. In this study, we examined resonance in Pexidartinib price mouse layer V neocortical pyramidal neurons. To accomplish this, we employed standard electrophysiology to describe cellular resonance parameters. Bode plot analysis revealed a range of resonance magnitude values in layer V neurons and demonstrated that both magnitude and phase response characteristics of layer V neocortical pyramidal neurons are modulated by changes in the extracellular environment. Specifically, increased resonant frequencies and total inductive areas were observed at higher extracellular potassium concentrations and more hyperpolarised membrane potentials. Experiments using pharmacological agents suggested

that current through hyperpolarization-activated cyclic nucleotide-gated channels (Ih) acts as the primary driver of SRT1720 concentration resonance in these neurons, with other potassium currents, such as A-type potassium current and delayed-rectifier potassium current (Kv1.4 and Kv1.1, respectively), contributing auxiliary roles. The persistent sodium current was also shown to play a role in amplifying the magnitude of resonance without contributing significantly to the phase response. Although resonance effects in individual neurons are small, their properties embedded in large networks may significantly affect network behavior and may have potential

implications for pathological processes. “
“The polysialylated form of the neuronal cell adhesion molecule (PSA-NCAM) is expressed by immature neurons PAK6 in the amygdala of adult mammals, including non-human primates. In a recent report we have also described the presence of PSA-NCAM-expressing cells in the amygdala of adult humans. Although many of these cells have been classified as mature interneurons, some of them lacked mature neuronal markers, suggesting the presence of immature neurons. We have studied, using immunohistochemistry, the existence and distribution of these immature neurons using post mortem material. We have also analysed the presence of proliferating cells and the association between immature neurons and specialised astrocytes.

, 2010; Shoji et al, 2011) Studies of Gram-negative bacteria ha

, 2010; Shoji et al., 2011). Studies of Gram-negative bacteria have identified at least eight different protein secretion systems, including types I–VI, the two-partner

secretion system and the chaperone/usher system (Economou et al., 2006). PorSS is not related to the previously known bacterial protein secretion systems. PorK, PorL, PorM, PorN, PorW, PorT and Sov involved in the P. gingivalis PorSS share similarity in amino acid sequence with Flavobacterium johnsoniae gliding motility proteins, GldK, GldL, GldM, GldN, SprE, SprT and SprA, respectively (Braun et al., 2005; Rhodes et al., 2010; Sato et al., 2010). In F. johnsoniae, disruption of the sprT gene resulted in defects in translocation of the gliding motility protein SprB and secretion of chitinase, suggesting PLX-4720 concentration that the PorSS is linked to gliding motility of bacteria in the Bacteroidetes phylum (Sato et al., 2010). Genes homologous Selleckchem Fulvestrant to the PorSS-related genes are also found in genomes of other members of the Bacteroidetes phylum, including important periodontal pathogens such as P. intermedia and T. forsythia (Sato et al., 2010). In the

present study, proteomic analyses of particle-free culture supernatants and vesicle fractions from porK+ and porK strains with the genetic background of rgpA rgpB kgp and outer membrane fractions from wild-type and porK strains were performed to identify P. gingivalis proteins that were secreted into the extracellular milieu by the PorSS. Bacterial strains and plasmids used in this study are listed in Table 1. Porphyromonas gingivalis cells were grown anaerobically (10% CO2, 10% H2, 80% N2) in enriched brain heart infusion medium and on enriched trypticase soy agar

(Nakayama et al., 1995). For blood agar plates, defibrinated laked sheep blood was added to enriched trypticase soy agar at 5%. For selection and GBA3 maintenance of antibiotic-resistant P. gingivalis strains, antibiotics were added to the medium at the following concentrations: erythromycin (Em), 10 μg mL−1; tetracycline (Tc), 0.7 μg mL−1. Porphyromonas gingivalis deletion mutants were constructed as follows. DNA regions upstream and downstream of a gene were PCR-amplified from the chromosomal DNA of P. gingivalis ATCC 33277T using pairs of primers (PGN gene number-U-F plus PGN gene number-U-R and PGN gene number-D-F plus PGN gene number-D-R), respectively, where ‘U’ indicates upstream, ‘F’ indicates forward, ‘D’ indicates downstream and ‘R’ indicates reverse. Primers used in this study are listed in Supporting information, Table S1. Amplified DNAs upstream and downstream of each gene were double-digested with NotI plus BamHI and KpnI plus BamHI, respectively. Both digested products were ligated together with pBluescript II SK(−) which had been digested with NotI plus KpnI, resulting in pKD945 (for rgpA mutagenesis) and pKD947 (for rgpB mutagenesis). The 1.5-kb BamHI cepA (pKD1002) and 2.

P F was the Marine Stinger Advisor with Surf Life Saving Queens

P. F. was the Marine Stinger Advisor with Surf Life Saving Queensland from 1985 to 2005: the National Medical Officer, Surf Life Saving Australia 1995–2005. He was a coauthor on the textbook.9 J. L. is the Executive Director of Divers Alert Network Asia-Pacific and is the Selleck GDC-0980 Principal Investigator on a research grant from

the Australia–Thailand Institute through the Department of Foreign Affairs and Trading, Australia. L.-A. G. was the National Marine Stinger Advisor with Surf Life Saving Australia from 2005 to 2007. Since 2007, she has been on the Medical Advisory Panel for St John Ambulance Australia and the Director of the Australian Marine Stinger Advisory Services. “
“We report the first confirmed case of tick-borne borreliosis by molecular tools in a French traveler returning Romidepsin in vivo from Ethiopia with unusual presentation: the presence of cutaneous eschar after a hard tick-bite suggesting firstly to clinicians a diagnosis of tick-borne rickettsiosis. Tick-borne diseases are increasingly being recognized among international travelers returned from Africa.[1] The majority of cases are African tick-bite fever (ATBF) caused by Rickettsia africae, which is a spotted fever group Rickettsia that has emerged in the

2000s in the field of travel medicine.[1] Few imported cases of relapsing fever are reported from this area.[1] In East Africa, Borrelia duttonii, transmitted by an argasid soft tick, Ornithodoros moubata, is the most widespread borreliosis.[2] Recently, a new Borrelia transmitted by Ornithodoros porcinus was described in febrile children in Tanzania.[3] In addition, in Ethiopia, a new Borrelia was detected in 7.3% of Amblyomma cohaerens (Ixodidae, hard ticks) with unknown pathogenicity.[4] We report a clinical case of relapsing PAK6 fever transmitted by a

hard tick in a French traveler returning from Ethiopia. On January 29, 2010, a 77-year-old woman sought care for a necrotic eschar at the tick-bite point on her left arm, which was surrounded by an erythematous region, associated with left upper limb pain. She did not present a rash or fever but did present mild hypoesthesia of the fourth and fifth fingers on the left hand. The rest of the physical examination was normal. The patient had a past history of high blood pressure and angina pectoris. She had spent 20 days in Ethiopia and returned to France on January 23, 2010. During her travel in Ethiopia, she removed (incompletely) one tick attached on the left arm. This event occurred 9 days before the consultation. The clinicians suspected tick-borne rickettsiosis. Doxycycline (100 mg daily, for a weight of 35 kg and 66 mL/min creatinine clearance) treatment was started for 14 days. Three weeks later, the patient was hospitalized for left cervical radiculopathy (C8), which was suspected following needle electromyography.