New England souvenirs.
A 54-year-old woman presented with 2 weeks of fever after a trip to the Northeastern United States. Except for an erythematous skin lesion on her right shoulder, no physical abnormality was detected. We diagnosed concomitant borreliosis and babesiosis. Both infections were possibly acquired by one bite from Ixodes scapularis.
Infectious Diseases, Center for Tropical Medicine & Travel Medicine, Division of Internal Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Michèle
M
van Vugt
José C
JC
Wetsteyn
Milly
M
Haverkort
Marion
M
Kolader
Nienke
N
Verhaar
Lodewijk
L
Spanjaard
Martin P
MP
Grobusch
Aldert
A
Bart
Tom
T
van Gool
D000818:Animals; D001404:Babesiosis / Q000150:complications / Q000208:ethnology* / Q000382:microbiology; D001733:Bites and Stings / Q000150:complications / Q000201:enzymology* / Q000382:microbiology; D025065:Borrelia burgdorferi / Q000302:isolation & purification*; D005260:Female; D006801:Humans; D007214:Indonesia / Q000208:ethnology; D018884:Ixodes / Q000382:microbiology*; D008193:Lyme Disease / Q000150:complications / Q000208:ethnology* / Q000382:microbiology; D008875:Middle Aged; D009511:New England / Q000453:epidemiology