title: Tick talk: unusually severe case of tick-borne relapsing fever with acute respiratory distress syndrome--case report and review of the literature.
abstract: Borrelia hermsii causes tick-borne relapsing fever (TBRF) in the Pacific Northwest. There are few reports of TBRF-associated acute respiratory distress syndrome. One such unusually severe case is described. Literature is reviewed including diagnosis, treatment, and prevention.
authors.affiliation: Northside Internal Medicine, Spokane, WA 99208, USA. badgermary@mac.com
authors.forename: Mary Schaefer
authors.initials: MS
authors.lastname: Badger
mesh_terms: D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001733:Bites and Stings; D005260:Female; D006801:Humans; D008875:Middle Aged; D012061:Relapsing Fever / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000517:prevention & control; D012128:Respiratory Distress Syndrome / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology / Q000517:prevention & control; D013987:Ticks / Q000382:microbiology*; D014861:Washington / Q000453:epidemiology
chemical_list: D000900:Anti-Bacterial Agents