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Updated: Feb 17, 2026

Cultivation Methods of Spirochetes from Borrelia burgdorferi Sensu Lato Complex and Relapsing Fever Borrelia
Published on: November 25, 2022
Relapsing fever
Abstract:
Relapsing fewer is an infection to be considered in the differential diagnosis of an immigrant´s febrile illness. It is a severe, tick-borne or body louse-borne infection caused by the relapsing fever associated borrelia species. The body louse-borne infection is in particular encountered in the Horn of Africa region due to poor hygiene, and has during the past year been described in several European countries as imported by refugees coming from this region. Doctors should thus bear relapsing fever in mind as a differential diagnosis in a febrile refugee having recently arrived in Finland.
Insights
Relapsing fever is a severe infection carried by ticks or lice. Doctors should consider this tick-borne or louse-borne illness in febrile refugees, especially from the Horn of Africa.
Area of Science:
- Infectious Diseases
- Public Health
- Epidemiology
Background:
- Relapsing fever is a severe infection caused by Borrelia species.
- It can be transmitted by ticks or body lice.
- Body louse-borne relapsing fever is prevalent in the Horn of Africa due to poor hygiene.
Purpose of the Study:
- To highlight the importance of considering relapsing fever in the differential diagnosis of febrile illnesses in immigrants.
- To inform healthcare professionals about the increasing incidence of imported relapsing fever in Europe.
- To emphasize the need for awareness among physicians treating refugees in Finland.
Main Methods:
- Literature review on relapsing fever epidemiology and transmission.
- Analysis of reported cases of imported relapsing fever in Europe.
- Clinical case discussions and diagnostic considerations.
Main Results:
- Body louse-borne relapsing fever has been increasingly reported in Europe, imported by refugees from the Horn of Africa.
- This infection poses a diagnostic challenge in febrile immigrant populations.
- Physicians need to be vigilant for relapsing fever in recently arrived refugees presenting with fever.
Conclusions:
- Relapsing fever, particularly the louse-borne form, is a significant concern for public health in Europe.
- Early recognition and diagnosis are crucial for effective management of relapsing fever in refugees.
- Awareness and inclusion of relapsing fever in the differential diagnosis are essential for clinicians in regions receiving immigrants from endemic areas.
Related Concept Videos
Patterns of Fever
Types of Fever
Here are the different types of fever:
Increased Body Temperature
Methods of reducing fever
Pharmacological Methods of Reducing Fever:
Bacterial Phylum Spirochaetes
Pulmonary Tuberculosis III
The first classification is based on the development of the disease, and it includes the following categories:

