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Title
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Imported relapsing fever in European tourists
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Author
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Abstract
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| Two imported cases of relapsing fever after a trip through Senegal are described. Two women developed a tick-borne relapsing fever after having slept outdoors on a terrace in Zinguichor, Senegal. The first patient was rapidly cured after a course of doxycycline. The second patient initially received erythromycin, but despite this treatment she developed neurological symptoms and Borrelia persisted in the thick-smear examination. After treatment with doxycycline she developed a Jarish-Herxheimer reaction. Treatment with doxycycline was continued and finally all symptoms disappeared within 36 hours after starting this treatment. A diagnosis of relapsing fever should be considered in all patients returning from the tropics with recurrent fever, especially if no malaria parasites are found. |
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Language
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English
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Source (journal)
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Scandinavian journal of infectious diseases. - Stockholm
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Publication
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Stockholm
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1993
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ISSN
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0036-5548
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DOI
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10.3109/00365549309008539
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Volume/pages
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25
:4
(1993)
, p. 533-536
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ISI
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A1993LX84800021
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Full text (Publisher's DOI)
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