Colebunders R, De Serrano P, Van Gompel A, Wynants H, Blot K, Van den Enden E, Van den Ende J
Institute of Tropical Medicine, Antwerp, Belgium.
Scand J Infect Dis. 1993;25(4):533-6. doi: 10.3109/00365549309008539.
Two 'imported' cases of relapsing fever after a trip through Senegal are described. Two women developed a tick-borne relapsing fever after having slept outdoors on a terrace in Zinguichor, Senegal. The first patient was rapidly cured after a course of doxycycline. The second patient initially received erythromycin, but despite this treatment she developed neurological symptoms and Borrelia persisted in the thick-smear examination. After treatment with doxycycline she developed a Jarish-Herxheimer reaction. Treatment with doxycycline was continued and finally all symptoms disappeared within 36 hours after starting this treatment. A diagnosis of relapsing fever should be considered in all patients returning from the tropics with recurrent fever, especially if no malaria parasites are found.
本文描述了两例在去过塞内加尔后出现回归热的“输入性”病例。两名女性在塞内加尔津吉乔尔的露台上户外睡眠后患上了蜱传回归热。第一名患者在接受一个疗程的强力霉素治疗后迅速痊愈。第二名患者最初接受了红霉素治疗，但尽管进行了这种治疗，她仍出现了神经症状，并且在厚涂片检查中仍发现有疏螺旋体。在用强力霉素治疗后，她出现了赫氏反应。继续用强力霉素治疗，最终在开始这种治疗后的36小时内所有症状均消失。对于所有从热带地区归来且反复发热的患者，尤其是未发现疟原虫的患者，均应考虑回归热的诊断。
