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