Details:

Alternative Title:
Emerg Infect Dis
Personal Author:
Domínguez, María Carmen ; Vergara, Salvador ; Gómez, María Carmen ; Roldán, María Esther
Domínguez, María Carmen ; Vergara, Salvador ; Gómez, María Carmen ; Roldán, María Esther Less -
Description:
Tick-borne relapsing fever (TBRF) is caused by spirochetes of Borrelia bacteria. We collected data on all TBRF cases in a TBRF-endemic area in southwest Spain during 1994-2016. We analyzed data from 98 patients in whom TBRF was diagnosed by light microscopy and analyzed the relationship between climatic data and TBRF incidence. Most cases occurred a rural environment during summer and autumn. We describe demographic, epidemiologic, clinical, and analytical characteristics, treatment, and occurrence of Jarisch-Herxheimer reaction. Most patients had fever and headache, and laboratory test results included elevated C-reactive protein, thrombocytopenia, and neutrophilia. No patients died, but 10.1% had Jarisch-Herxheimer reaction. B. hispanica was the infecting species in 12 cases with PCR results. Clinicians often do not suspect TBRF because clinical signs and symptoms vary; therefore, it is likely underdiagnosed, even in disease-endemic areas.
Subject:
[+]
Arthropodborne Disease
Bacteria
Borrelia Hispanica
Endemic Borreliosis
Epidemiology Of Tick-Borne Relapsing Fever In Endemic Area, Spain
Jarisch-Herxheimer Reaction
Spain
Synopsis
Tick-borne Relapsing Fever
Vector-borne Infections
Zoonoses

Source:
Emerg Infect Dis. 26(5):849-856
Pubmed ID:
32308194
Pubmed Central ID:
PMC7181924
Document Type:
Journal Article
Collection(s):
Emerging Infectious Diseases
Main Document Checksum:
[+]
urn:sha256:4ef8934f8555d28d13934df6439f5ace280a335a2b78eac530e173901ba25b81
File Type:

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