Pseudo-borreliosis in patients with malaria.
Malaria and relapsing fever are arthropod-borne infections characterized by fever, myalgia, headache, and a tendency to relapse. Both are diagnosed through examination of stained blood films, and both might respond to tetracycline therapy. In at least four published case reports, the presence of malarial microgametes possibly resulted in misdiagnosis of borreliosis in patients with malaria. An additional case is presented, and the mechanism of microgamete production in clinical specimens is discussed.
Berger
Stephen A
SA
Departments of Geographic Medicine and Internal Medicine G, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel. mberger@post.tau.ac.il
David
Liora
L
D000328:Adult; D000962:Antimalarials / Q000627:therapeutic use; D001899:Borrelia Infections / Q000097:blood / Q000150:complications / Q000175:diagnosis*; D002738:Chloroquine / Q000627:therapeutic use; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D007194:India; D007557:Israel; D016780:Malaria, Vivax / Q000097:blood* / Q000175:diagnosis* / Q000188:drug therapy; D011319:Primaquine / Q000627:therapeutic use; D014195:Travel; D016896:Treatment Outcome
D000962:Antimalarials; D002738:Chloroquine; D011319:Primaquine