Relapsing fever

An illness caused by infection with spirochaetes. Relapsing fever is transmitted to humans by ticks or lice and is characterized by high fever. It does not occur in the UK. A high fever of up to 40°C suddenly develops, with shivering, headache, muscle pains, nausea, and vomiting. The symptoms persist for 3–6 days, culminating in a crisis with a risk of collapse and death. The person then apparently recovers but suffers another attack 7–10 days later. If tick-borne, there may be several such relapses, each progressively milder. The spirochaetes can be seen in a blood smear, and they can be eliminated with antibiotic drugs.

 

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