Ahmed Yahia S, Faibis F, Benmoussa M, Lantohasina N, Dupont A, Ait Abdesselam T
Service de rhumatologie, Grand Hôpital de l'Est Francilien, site de Meaux, 6-8, rue Saint Fiacre, 77104 Meaux, France.
Laboratoire de microbiologie et immunologie, Grand Hôpital de l'Est Francilien, site de Meaux, Meaux, France.
Rev Med Interne. 2020 Jun;41(6):418-420. doi: 10.1016/j.revmed.2019.12.022. Epub 2020 Jan 31.
Tick-borne relapsing fever is a usual cause of fever in West Africa. Except relapsing febrile episodes, there are no pathognomonic signs and diagnosis is difficult because Borrelia density in patient's blood is low.
Tick-borne relapsing fever was revealed by the presence of spirochetes in a blood sample to search malaria in two men, 24 and 31 year-old, returned from Mali.
This diagnosis should be evocated in patients having fever after a trip in infested area, as malaria, both infections can be associated.
蜱传回归热是西非发热的常见原因。除了反复发热发作外，没有特征性体征，且由于患者血液中疏螺旋体密度低，诊断困难。
在两名分别为24岁和31岁、从马里返回的男子的血样中发现螺旋体，从而确诊为蜱传回归热，该血样原本是用于检测疟疾的。
对于曾前往疫区后发热的患者应考虑这一诊断，因为疟疾和这种感染可能同时存在。
