Annals of Tropical Medicine and Public Health
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CASE REPORT
Year : 2013  |  Volume : 6  |  Issue : 4  |  Page : 482-484

Borreliosis: Recurrent fever due to spirochetes


Department of Pathology, Shimoga Institute of Medical Sciences, Shimoga, Karnataka, India

Correspondence Address:
S Veena
Department of Pathology, Shimoga Institute of Medical Sciences, Shimoga - 577 201, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1755-6783.127806

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Relapsing fever is a complex group of diseases caused by spirochetes of the genus Borrelia transmitted to humans by lice or ticks. The purpose of this study is to present a case of relapsing fever. A 50-year-old female was admitted with fever, headache, nausea, myalgia, and arthralgia. She had history of relapsing fever for 3-5 days with 15-21-day-intervals of apyrexia during the past 3 months. Laboratory exams were normal. Peripheral blood smear showed spirochetes. She was treated with doxycycline to which she showed good response. The patient is asymptomatic and without sequelae since 3 months. In the case we reported, relapsing fever due to spirochetemia was made during the differential diagnosis. Owing to the difficulty in identification, it is important to have a high clinical suspicion of this type of infection.


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