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[Relapsing fever seen in Europe: epidemiology, diagnosis, course and treatment]
La Revue Du Praticien
|May 18, 1989
Abstract:
In most European countries relapsing fevers, caused by different Borrelia species, are imported diseases. This diagnosis should be considered in a patient with fever recently back from an endemic region, especially if he went through several febrile episodes or if he has jaundice, spleen enlargement, a rash and signs of haemorrhage or meningoencephalitis.
Insights
Relapsing fevers, caused by Borrelia species, are imported diseases in Europe. Consider this diagnosis in patients with recurrent fever after travel to endemic areas, especially with jaundice or neurological signs.
Area of Science:
- Medical Microbiology
- Infectious Diseases
- Epidemiology
Context:
- Relapsing fevers are uncommon in Europe, often imported from endemic regions.
- Borrelia species are the causative agents of these tick-borne illnesses.
- Diagnosis requires awareness in travelers returning from affected areas.
Purpose:
- To highlight the importance of considering relapsing fevers in differential diagnoses.
- To outline key clinical indicators suggestive of this condition in travelers.
- To emphasize the epidemiological context of imported infectious diseases.
Summary:
- Relapsing fevers, caused by Borrelia, are imported diseases in most European countries.
- Clinical presentation includes recurrent fever, jaundice, splenomegaly, rash, hemorrhage, or meningoencephalitis.
- Diagnosis is crucial for patients recently returned from endemic regions.
Impact:
- Improved diagnostic yield for relapsing fevers in European healthcare settings.
- Enhanced clinical suspicion among physicians managing febrile patients with travel history.
- Better understanding of the epidemiology and clinical spectrum of imported Borrelia infections.