Louse-borne relapsing fever (Borrelia recurrentis) in an Eritrean refugee arriving in Switzerland, August 2015.
We report an imported case of louse-borne relapsing fever in a young adult Eritrean refugee who presented with fever shortly after arriving in Switzerland. Analysis of blood smears revealed spirochetes identified as Borrelia recurrentis by 16S rRNA gene sequencing. We believe that louse-borne relapsing fever may be seen more frequently in Europe as a consequence of a recent increase in refugees from East Africa travelling to Europe under poor hygienic conditions in confined spaces.
Division of Clinical Microbiology, University Hospital Basel, Basel, Switzerland.
D
D
Goldenberger
G J
GJ
Claas
C
C
Bloch-Infanger
T
T
Breidthardt
B
B
Suter
M
M
Martínez
A
A
Neumayr
A
A
Blaich
A
A
Egli
M
M
Osthoff
D000818:Animals; D001898:Borrelia / Q000235:genetics / Q000302:isolation & purification*; D002443:Ceftriaxone / Q000008:administration & dosage; D004269:DNA, Bacterial / Q000235:genetics; D004318:Doxycycline / Q000008:administration & dosage; D019017:Eritrea; D006801:Humans; D012336:RNA, Ribosomal, 16S / Q000235:genetics*; D012036:Refugees; D012061:Relapsing Fever / Q000097:blood / Q000175:diagnosis* / Q000188:drug therapy; D013557:Switzerland; D014195:Travel; D016896:Treatment Outcome
D004269:DNA, Bacterial; D012336:RNA, Ribosomal, 16S; D002443:Ceftriaxone; D004318:Doxycycline