A 13-year old girl with pancytopenia at the presentation of a Borrelia hispanica infection: a case report and review of ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2017-02-27

AUTHORS

Irmin Leen, Peggy Bruynseels, Benoît Kabamba Mukadi, Mark van Oort, Machiel van den Akker

ABSTRACT

BackgroundIt is not uncommon that a child with a febrile illness of unknown etiology is admitted to the hospital. When the complete blood count reveals a pancytopenia, the diagnostic process can be a real challenge.Case presentationA 13-year girl of Arab-Berber descent presented with abdominal pain and fever after a holiday in northwestern Morocco. A complete blood count revealed a pancytopenia and blood smear test results revealed spirochetes. Borrelia hispanica was identified by sequencing the 16S ribosomal ribonucleic acid gene. Our patient was treated with tetracyclines and during this treatment we saw full clinical and hematological recovery.ConclusionsBorrelia hispanica is a known cause of tick-borne relapsing fever and is transmitted to humans through the bite of soft ticks of the genus Ornithodoros (Alectorobius). Although the link between tick-borne relapsing fever and thrombocytopenia has been documented, there are only a few case reports of tick-borne relapsing fever presenting with pancytopenia. To the best of our knowledge, there is no previous report of Borrelia hispanica presenting with pancytopenia. More... »

PAGES

51

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s13256-017-1225-3

DOI

http://dx.doi.org/10.1186/s13256-017-1225-3

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1083941620

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28238286


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