From: Louse-borne relapsing fever – report of four cases in Switzerland, June-December 2015
Case | Sex, age | Origin | Travel route | Location of first febrile episode | Symptoms | Platelet count (on admission, nadir; × 109) | CRP (on admission, peak; mg/L) | Other laboratory features | Treatment |
---|---|---|---|---|---|---|---|---|---|
1 | M, 25 y | Eritrea | ER, SU, LB, IT, CH | Libya | Fever, abdominal pain, epistaxis | 56, 30 | 312, 312 | Mild anemia, hyponatremia and hypokalemia | Ceftriaxone for 2 days followed by doxycycline for 7 days |
2 | M, 29 y | Somalia | SO, KE, SU, LB, IT, CH | Italy (infestation with body lice in Libya) | Fever, abdominal pain, headache, muscle aches | 141, 54 | 245, 245 | Mild anemia, leukocytosis and hyponatremia | Ceftriaxone for 1 day followed by doxycycline for 7 days plus HRZEb |
3 | F, 21 y | Somalia | SO, KE, UG, SU, LB, IT, CH | Italy | Fever, pollakisuria, swollen/painful cervical/axillary lymphadenopathy | 45, 27 | 367, 367 | Mild anemia, leukocytosis and hyponatremia, elevated creatinine (mild), bilirubin and LDH (both moderate) | Doxycycline for 5 days |
4 | M, 17y | Somalia | SO, ET, SU, LB, IT, CH | Libya | Fever, chills, cough, urinary incontinence | 167, 62 | 127, 235 | Moderate anemia, mild hyponatremia, hypokalemia, elevated creatinine and LDH (both mild) | Doxycycline for 3 days plus Artemether/lumefantrinea |