All Posts Tagged With: "Tick-Borne Relapsing Fever"

Tick-Borne Relapsing Fever, a Neglected Cause of Fever in Fars Province

Full article: http://ijms.sums.ac.ir/files/PDFfiles/11-Dr_%20Pouladfar.pdf

Excerpt:

Tick-borne relapsing fever is an endemic disease in some parts
of Iran. Borellia persica, the most common cause of this dis-
ease in Iran, has a wide geographic distribution and is present
in Alborz and Zagros mountain chains.
Here we report a 16ñyear-old male patient who presented
with two episodes of fever within 15 days. He had a history of
few overnight stays in a cave of mountainous area in Fars
province. Sites of tick bites were found on exposed areas of
extremities. Spirochetes were detected in Wright-stained
smears of the patient’s peripheral blood. He was successfully
treated with penicillin. To the best of our knowledge, there has
been no reported case of tick-borne relapsing fever from Fars
province in the literature during the last 28 years.
Tick-borne relapsing fever should be considered in patients
with recurrent fever and peripheral blood smear should be in-
vestigated for spirochetes. Further seroepidemiologic studies
should be carried out to determine the prevalence of this disease
in Fars province.

MR imaging in neuroborreliosis of the cervical spinal cord

Excerpt:

The central nervous system is involved in 10-20% of cases in Lyme
disease. The neurological symptoms, time course of the disease and
imaging findings are multifaceted. We report two patients with cervical
radiculitis. Magnetic resonance imaging revealed strong enhancement of
the cervical nerve roots on contrast-enhanced T1-weighted images. These
imaging patterns of borrelia-associated radiculitis have not been
reported before. Knowledge of these imaging features may help to
diagnose neuroborreliosis, which presents with non-specific symptoms.