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[Meningitis due to infection with Borrelia hispanica]

Jennie Heida1,2, Andreas van Arkel3, Jaco J Verweij3

  • 1Elisabeth-TweeSteden Ziekenhuis, afd. Neurologie, Tilburg.

Nederlands Tijdschrift Voor Geneeskunde
|October 15, 2019
PubMed

Insights

Tick-borne relapsing fever, caused by Borrelia bacteria transmitted by ticks, presents with recurrent fevers. Early antibiotic treatment, like ceftriaxone, is crucial for recovery and preventing severe illness.

Area of Science:

  • Infectious Diseases
  • Bacteriology
  • Neurology

Background:

  • Tick-borne relapsing fever (TBRF) is an infection caused by Borrelia bacteria transmitted through tick bites.
  • The disease is characterized by recurring high fever episodes and non-specific symptoms.

Observation:

  • A 20-year-old woman presented with recurrent fever, headache, and vomiting after traveling to Morocco.
  • Cerebrospinal fluid analysis revealed pleocytosis, initially suggesting viral meningitis.
  • Borrelia species were identified via 16S-rRNA PCR, confirming TBRF.

Findings:

  • The patient received a two-week course of intravenous ceftriaxone.
  • Symptoms gradually improved following antibiotic treatment.

Implications:

  • Prompt diagnosis and antibiotic therapy are essential for managing TBRF and preventing severe outcomes.
  • Clinicians should consider TBRF in patients with recurrent fevers, especially after travel to endemic regions in Africa, America, or the Middle East.

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