title: Elevated troponin and jarisch-herxheimer reaction in tick-borne relapsing Fever: a case report.
abstract: We describe a patient with fever and borreliosis in the Northwestern Washington State, USA. The patient exhibited a classic Jarisch-Herxheimer reaction of tachycardia, hypotension, and thrombocytopenia following antimicrobial therapy, and she also developed an elevated serum cardiac troponin during therapy.
authors.affiliation: Immunology Department, Peace Health Laboratories, 2901 Squalicum Parkway, Bellingham, WA 98225, USA.
authors.forename: Kenneth A
authors.initials: KA
authors.lastname: Hoekstra
authors.forename: Michael T
authors.initials: MT
authors.lastname: Kelly