[A patient with fever following a visit to the tropics: tick-borne relapsing fever discovered in a thick blood smear preparation]. / Een patiënt met koorts na een bezoek aan de tropen: 'tick-borne relapsing fever' ontdekt in een dikkedruppelpreparaat.
Ned Tijdschr Geneeskd
; 150(43): 2386-9, 2006 Oct 28.
Article
em Nl
| MEDLINE
| ID: mdl-17100131
A 26-year-old woman presented with a 2-day history of fever peaking to 39 degrees C and cold shivers that developed after a 2-weeks trip to Guatemala and Belize. Prior to the fever the patient had felt symptoms of a common cold and general malaise. Moreover, she complained of generalised myalgia and nausea. She had taken paludrine as a prophylactic against malaria. Borrelia spirochaetes, the pathogen of relapsing fever, were detected in a thick blood smear preparation. On the basis of the anamnesis, geography and specific exposure, the patient had a form of relapsing fever that is transmitted by ticks and not by lice: tick-borne relapsing fever. She was treated with doxycycline, 100 mg b.i.d. for 7 days. She could be discharged home in good condition after 2 days.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Febre Recorrente
/
Viagem
/
Borrelia
/
Doxiciclina
/
Antibacterianos
Limite:
Adult
/
Female
/
Humans
País/Região como assunto:
America central
/
Belice
/
Caribe ingles
/
Guatemala
Idioma:
Nl
Revista:
Ned Tijdschr Geneeskd
Ano de publicação:
2006
Tipo de documento:
Article
País de publicação:
Holanda