Title
Imported relapsing fever in European tourists Imported relapsing fever in European tourists
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Publication type
article
Publication
Stockholm ,
Subject
Human medicine
Source (journal)
Scandinavian journal of infectious diseases. - Stockholm
Volume/pages
25(1993) :4 , p. 533-536
ISSN
0036-5548
ISI
A1993LX84800021
Carrier
E
Target language
English (eng)
Full text (Publishers DOI)
Affiliation
University of Antwerp
Abstract
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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