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borreliosis (relapsing fever)
Infection with Borrelia
Etiology:
- Borrelia burgdorferi (see Lyme disease)
- Borrelia hermsii (Western U.S. primarily in mountainous areas)
- Borrelia recurrentis (louse-borne relapsing fever)
- Borrelia mayonii (see Lyme disease)
Epidemiology:
- exposure to ticks or body lice
- prevalent in Ethiopia & Sudan
Clinical manifestations:
1) recurrent fever
2) headache
3) myalgias
4) hepatosplenomegaly
5) central rash at end of febrile episode
6) petechiae in some cases
Laboratory:
- peripheral blood smear [3]
- basophilic staining of very thin spirochetes [2]
- see Lyme disease
* also see ARUP consult [5]
Management: see Lyme disease
Related
Borrelia
relapsing fever
Specific
Borrelia recurrentis; louse-borne relapsing fever; epidemic relapsing fever
Lyme disease
General
spirochete infection
References
- Harrison's Principles of Internal Medicine, 14th ed.
Fauci et al (eds), McGraw-Hill Inc. NY, 1998, pg 92
- Redig AJ et al
Interactive medical case. A Chilly Fever.
N Engl J Med 2014; 371:e24O. ctober 16, 2014
PMID: 25317891
http://www.nejm.org/doi/full/10.1056/NEJMimc1315897
- Blevins SM, Greenfield RA, Bronze MS
Blood smear analysis in babesiosis, ehrlichiosis, relapsing
fever, malaria, and Chagas disease.
Cleve Clin J Med. 2008 Jul;75(7):521-30
PMID: 18646588
- Halperin JJ.
Neuroborreliosis.
J Neurol. 2017 Jun;264(6):1292-1297.
PMID: 27885483
- ARUP Consult: Borrelia Species - Lyme Disease and Borrelia hermsii
The Physician's Guide to Laboratory Test Selection & Interpretation
https://www.arupconsult.com/content/borrelia-species