Borreliosis: a rare and alternative diagnosis in travellers' febrile illness.
We report a case of borreliosis mimicking uncomplicated malaria in a patient returning from Mali. Identification of spirochetes through examination of a thick blood smear completed by an acridine-orange quantitative buffy coat allowed the diagnosis of borreliosis. All symptoms rapidly resolved following tetracycline therapy. Epidemiological and clinical features of borreliosis, diagnostic tools and management are discussed.
Gallien
S
S
Department of Tropical and Infectious Diseases, Saint-Louis University Hospital, 1, avenue Claude Vellefaux, 75475 Paris, Cedex 10, France. sebastien_gallien@yahoo.fr
Sarfati
C
C
Haas
L
L
Lagrange-Xelot
M
M
Molina
J M
JM
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001899:Borrelia Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D003937:Diagnosis, Differential; D005334:Fever / Q000209:etiology; D005602:France; D006801:Humans; D008288:Malaria / Q000175:diagnosis; D008297:Male; D008302:Mali; D008875:Middle Aged; D013752:Tetracycline / Q000627:therapeutic use; D014195:Travel
D000900:Anti-Bacterial Agents; D013752:Tetracycline