Images in Clinical Medicine
Kim Eagle, M.D., Editor
Relapsing Fever
N Engl J Med 1996; 335:1197October 17, 1996
- Article
Figure 1 A 41-year-old woman presented with a four-week history of recurring fever (temperature, 40.5°C), headache, and diffuse myalgias. She was one of three family members in whom relapsing fever developed after they vacationed in a rustic, rodent-infested cabin in northeast Washington State. A Wright's-stained peripheral-blood smear contains two borrelia spirochetes (arrows). The patient was treated with 100 mg of doxycycline orally twice a day and had no further symptoms.
Kim Eagle, M.D.
James A. Newton, M.D.
Naval Medical Center, Portsmouth, VA 23708Patricia V. Pepper, M.D.
Naval Medical Center, San Diego, CA 92134
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