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Relapsing fever in a traveller returning from Senegal Eckbo, Eric; Charles, Marthe; Wolber, Robert; Yu, Gannon

Abstract

KEY POINTS • A broad differential should be maintained in the returning traveller with fever, and a detailed travel, social and exposure history elicited to help guide appropriate diagnostics. • Spirochetes seen in routine peripheral blood or malaria smears are pathognomonic for tick-borne or louse-borne relapsing fever caused by Borrelia species. • In North America, tick-borne relapsing fever is endemic to British Columbia and the western United States, and is transmitted by Ornithodoros soft ticks. • Patients should be closely monitored for the Jarisch– Herxheimer reaction after initiation of effective therapy for all forms of relapsing fever.

Item Metadata

Title
Relapsing fever in a traveller returning from Senegal
Creator
Eckbo, Eric; Charles, Marthe; Wolber, Robert; Yu, Gannon
Contributor
Vancouver General Hospital
Publisher
Canadian Medical Association
Date Issued
2021-02-22
Description
KEY POINTS • A broad differential should be maintained in the returning traveller with fever, and a detailed travel, social and exposure history elicited to help guide appropriate diagnostics. • Spirochetes seen in routine peripheral blood or malaria smears are pathognomonic for tick-borne or louse-borne relapsing fever caused by Borrelia species. • In North America, tick-borne relapsing fever is endemic to British Columbia and the western United States, and is transmitted by Ornithodoros soft ticks. • Patients should be closely monitored for the Jarisch– Herxheimer reaction after initiation of effective therapy for all forms of relapsing fever.
Genre
Article
Type
Text
Language
eng
Date Available
2021-06-21
Provider
Vancouver : University of British Columbia Library
Rights
Attribution-NonCommercial-NoDerivatives 4.0 International
DOI
10.14288/1.0398476
URI
http://hdl.handle.net/2429/78740
Affiliation
Medicine, Faculty of; Medicine, Department of; Pathology and Laboratory Medicine, Department of
Citation
Eckbo, E. J., Charles, M., Wolber, R., & Yu, G. (2021). Relapsing fever in a traveller returning from senegal. Canadian Medical Association Journal (CMAJ), 193(8), E285-E288.
Publisher DOI
10.1503/cmaj.201644
Peer Review Status
Reviewed
Scholarly Level
Faculty; Researcher
Copyright Holder
Publisher
Rights URI
http://creativecommons.org/licenses/by-nc-nd/4.0/
Aggregated Source Repository
DSpace

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Attribution-NonCommercial-NoDerivatives 4.0 International