Relapsing fever

Duodecim; Laaketieteellinen Aikakauskirja
|December 1, 2017
PubMed

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.

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