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Relapsing fever

Alternative Names

Tick-borne relapsing fever, Louse-borne relapsing fever

Treatment

Treatment involves antibiotics, most often tetracycline, doxycycline, or penicillin.

Outlook (Prognosis)

The death rate for untreated LBRF ranges from 10-70%. In TBRF, it is 4-10%. With early treatment, the death rate is reduced. Those who have developed coma, myocarditis, liver problems, and pneumonia have at higher risk of death.

Possible Complications

  • Seizures
  • Weakness
  • Facial droop
  • Meningitis
  • Coma
  • Myocarditis -- may lead to arrhythmias
  • Pneumonia
  • Liver dysfunction
  • Widespread bleeding
  • Deadly reaction to antibiotics (Jarisch - Herxheimer's reaction)

When to Contact a Medical Professional

Notify your medical provider if you are a returning traveler and you develop fever -- there are many different possible infections that will need to be investigated in a timely manner.

Review Date: 11/27/2006
Reviewed By: D. Scott Smith, M.D., MSc, DTM&H, Chief of Infectious Disease & Geographic Medicine, Kaiser Redwood City, CA & Adjunct Assistant Professor, Stanford University. Review provided by VeriMed Healthcare Network.

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