Borrelia crocidurae meningoencephalitis, West Africa.
Borrelia crocidurae-associated relapsing fever is endemic to West Africa and is considered benign. We report 4 patients with B. crocidurae-associated neurologic symptoms; 2 of their cases had been misdiagnosed.  Frequency and severity of this disease could be underestimated; molecular methods and serodiagnostic tests for Lyme disease might be helpful in its detection.
Grenoble Teaching Hospital, Grenoble, France. sandrinegoutier@hotmail.com
Sandrine
S
Goutier
Elisabeth
E
Ferquel
Claudine
C
Pinel
Annick
A
Bosseray
Bruno
B
Hoen
Gérard
G
Couetdic
Amina
A
Bourahoui
Claire
C
Lapostolle
Hervé
H
Pelloux
Martine
M
Garnier
Natacha
N
Sertour
Isabelle
I
Pelloux
Patricia
P
Pavese
Muriel
M
Cornet
D000328:Adult; D001898:Borrelia / Q000235:genetics*; D002443:Ceftriaxone / Q000627:therapeutic use; D002648:Child; D004318:Doxycycline / Q000627:therapeutic use; D019353:Endemic Diseases; D005260:Female; D005602:France; D006801:Humans; D008297:Male; D008590:Meningoencephalitis / Q000188:drug therapy / Q000453:epidemiology / Q000382:microbiology*; D008875:Middle Aged; D025202:Molecular Diagnostic Techniques; D016133:Polymerase Chain Reaction; D012329:RNA, Bacterial / Q000235:genetics; D012336:RNA, Ribosomal, 16S / Q000235:genetics; D012061:Relapsing Fever / Q000188:drug therapy / Q000453:epidemiology / Q000382:microbiology*; D012675:Senegal / Q000453:epidemiology; D017422:Sequence Analysis, DNA; D014195:Travel
D012329:RNA, Bacterial; D012336:RNA, Ribosomal, 16S; D002443:Ceftriaxone; D004318:Doxycycline