Tickborne Relapsing Fever Caused by Borrelia persica, Uzbekistan and Tajikistan

Autor:	Elisabeth Ferquel, Marc-Victor Assous, Natacha Sertour, Samia Hamane, Nathalie Colin de Verdière, Muriel Cornet
Přispěvatelé:	Centre National de Référence des Borrelia (CNR), Institut Pasteur [Paris], Thérapeutique Recombinante Expérimentale (TIMC-IMAG-TheREx), Techniques de l'Ingénierie Médicale et de la Complexité - Informatique, Mathématiques et Applications, Grenoble - UMR 5525 (TIMC-IMAG), VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP )-Centre National de la Recherche Scientifique (CNRS)-Université Joseph Fourier - Grenoble 1 (UJF)-VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP )-Centre National de la Recherche Scientifique (CNRS)-Université Joseph Fourier - Grenoble 1 (UJF), Institut Pasteur [Paris] (IP), Université Joseph Fourier - Grenoble 1 (UJF)-Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP )-VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Centre National de la Recherche Scientifique (CNRS)-Université Joseph Fourier - Grenoble 1 (UJF)-Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP )-VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Centre National de la Recherche Scientifique (CNRS)
Jazyk:	angličtina
Rok vydání:	2011
Předmět:	Tajikistan MESH: Sequence Analysis DNA relapsing fever diagnosis lcsh:Medicine molecular identification 0302 clinical medicine Medicine MESH: Animals MESH: Doxycycline MESH: Borrelia bacteria MESH: Uzbekistan Ornithodoros ComputingMilieux_MISCELLANEOUS [SDV.MP.MYC]Life Sciences [q-bio]/Microbiology and Parasitology/Mycology tickborne 0303 health sciences biology MESH: Tajikistan Uzbekistan 3. Good health MESH: RNA Ribosomal 16S MESH: Spirochaetales MESH: Borrelia Infections Chills medicine.symptom Borrelia persica MESH: Blood Buffy Coat 030231 tropical medicine letter Tick lcsh:Infectious and parasitic diseases 03 medical and health sciences Borrelia MESH: Ornithodoros MESH: Anti-Bacterial Agents MESH: Relapsing Fever lcsh:RC109-216 MESH: Arthropod Vectors Letters to the Editor 030304 developmental biology MESH: Humans business.industry lcsh:R Becton dickinson MESH: Adult biology.organism_classification medicine.disease Virology MESH: Male Blood smear Immunology business
Zdroj:	Emerging Infectious Diseases Emerging Infectious Diseases, Centers for Disease Control and Prevention, 2011, 17 (7), pp.1325-7. ⟨10.3201/eid1707.101894⟩ Emerging Infectious Diseases, Vol 17, Iss 7, Pp 1325-1327 (2011) Emerging Infectious Diseases, 2011, 17 (7), pp.1325-7. ⟨10.3201/eid1707.101894⟩
ISSN:	1080-6059 1080-6040
DOI:	10.3201/eid1707.101894⟩
Popis:	To the Editor: Tickborne relapsing fever (TBRF) is caused by several Borrelia species and transmitted by argasid soft ticks of the genus Ornithodoros. The disease is endemic to many parts of the world, especially Africa (B. duttonii and B. crocidurae most prevalent), and the Mediterranean basin (B. hispanica most prevalent). In Eurasia, TBRF is mainly caused by B. persica (1–3). We report a patient who returned to France with B. persica infection after visiting Uzbekistan and Tajikistan. In September 2008, a 32-year-old man sought care at the Saint Louis Hospital in Paris, France, for a fifth relapsing episode of fever. Three weeks earlier (July 31–August 18), he had trekked through Uzbekistan and Tajikistan and spent 7 nights in a tent in Uzbekistan. The day before his return to France, he had fever (39.5°C) that lasted 5 days without other symptoms. After a 4-day interval, fever recurred for 1 day, then relapsed 3 other times (every 2 days with fever for 12 hours). Laboratory investigations performed earlier by his general physician on August 19 and 20 showed lymphopenia (0.76 × 109 cells/L and 0.44 × 109 cells/L), thrombocytopenia (94 ×109 cells/L and 80 ×109 cells/L), and C-reactive protein level 300 mg/L (reference level
Databáze:	OpenAIRE
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