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Images in Clinical Medicine
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Volume 335:1197 October 17, 1996 Number 16
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Relapsing Fever

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Figure 1.


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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.

 


James A. Newton, M.D.
Naval Medical Center
Portsmouth, VA 23708


Patricia V. Pepper, M.D.
Naval Medical Center
San Diego, CA 92134


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