A 49-year-old healthy female presented to the emergency department with a headache, fever to 103°F, mild myalgia, heart rate of 119 bpm, and blood pressure of 80/40 mm Hg. Past medical history was unremarkable, no drug allergies or current medications, except for a recent vacation in eastern Washington state. The complete blood count showed a white blood cell count of 12.5 3 10E9/L (mild leukoc...

Sir,?Towards the latter part of an epidemic of widespread relapsing fever on the Nilgiris I had occasion to meet with a number of cases of dysentery occurring in relapsing fever patients. Such cases were not met with in the early days of the epidemic. A day or two previous to the fall of temperature of the first pyrexial period, more often at the beginning of the apyrexial period, dysentery sta...

Relapsing fever is a group of conditions that is characterized by recurrent febrile episodes interspaced with periods of no symptoms at all. They are arthropod-borne spirochetal infections of the Borrellia genus and occur in two main forms: tick-borne and louse-borne. Tick-borne relapsing fever is a zoonosis that is found worldwide. The louse-borne relapsing fever is caused by B. recurrentis, a...

come "under the observation of the medical officers; then in July the disease broke out with crreat virulence in the schools of the C M S. situated with several industrial workshops and missionaries houses, etc., alongside of the Christian village of Sharanpur, over a mile from the city. The settlement attacked consists of numerous small buildings, boarding schools for boys and girls, normal sc...

To the Editor of "The Indian Medical Gazette." Sir,?During the period February to May of this j'ear 4cases of relapsing fever were admitted to the Seistan Consulate Hospital. Diagnosis was confirmed by microscopic examination of the blood. The clinical description conformed closely to that of the Indian variety of the disease. One patient, however, a strong healthy man 28 years of age, develope...

Relapsing fever, caused by spirochaetes belonging to the genus Borrelia, was once the cause of worldwide epidemic disease. This was largely through infection with the louse-borne form of the disease, caused by Borrelia recurrentis (louse-borne relapsing fever (LBRF)). During the last century, we have witnessed the demise of this infection, largely owing to improved standards of living and the i...

The emerging pathogen, Borrelia miyamotoi, is a relapsing fever spirochete vectored by the same species of Ixodes ticks that carry the causative agents of Lyme disease in the US, Europe, and Asia. Symptoms caused by infection with B. miyamotoi are similar to a relapsing fever infection. However, B. miyamotoi has adapted to different vectors and reservoirs, which could result in unique physiolog...