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Tickborne Relapsing Fever Caused by Borrelia persica, Uzbekistan and Tajikistan

机译:波斯紫苏,乌兹别克斯坦和塔吉克斯坦引起的传复发热

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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 fi fth 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 × 109cells/L and 0.44 × 109cells/L), thrombocytopenia (94 ×109cells/L and 80 ×109cells/L), and C-reactive protein level 300 mg/L (reference level <6 mg/L).
机译:致编辑:Tickborne复发性发烧(TBRF)是由几种疏螺旋体引起的,并通过鸟嘴兽属的软ni虫传播。该病是世界许多地方的地方病,尤其是非洲(最常见的是B. duttonii和B. crocidurae)和地中海盆地(最常见的是B. hispanica)。在欧亚大陆,TBRF主要是由波斯双歧杆菌引起的(1-3)。我们报告了一名患者在访问乌兹别克斯坦和塔吉克斯坦后回到法国,并感染了B. persica.2008年9月,一名32岁的男子在法国巴黎的圣路易斯医院寻求治疗,这是继发性发热的第五次发作。三个星期前(7月31日至8月18日),他徒步穿越了乌兹别克斯坦和塔吉克斯坦,并在乌兹别克斯坦的一个帐篷里住了7晚。返回法国的前一天,他发烧(39.5°C)持续5天,没有其他症状。在4天的间隔后,发烧复发1天,然后又复发3次(发烧每2天持续12小时)。他的全科医生较早前于8月19日至20日进行的实验室检查显示,淋巴细胞减少症(0.76×109cells / L和0.44×109cells / L),血小板减少症(94×109cells / L和80×109cells / L)和C反应蛋白水平300 mg / L(参考水平<6 mg / L)。

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