Relapsing Fever

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Relapsing fever is a bacterial infection that is characterized by recurring episodes of high fever, chills, sweats, headache, muscle aches, joint pain, nausea, vomiting, abdominal pain, rash, and enlarged liver and spleen. It is caused by two main types of bacteria: Borrelia recurrentis and Borrelia hermsii. These bacteria are transmitted to humans through the bite of infected ticks or lice. In this article, we will explore the symptoms, causes, diagnosis, and treatment options for relapsing fever.

Symptoms of Relapsing Fever

The symptoms of relapsing fever typically begin suddenly and can be quite severe. The most common symptoms include:

  • High fever
  • Chills
  • Sweats
  • Headache
  • Muscle aches
  • Joint pain
  • Nausea
  • Vomiting
  • Abdominal pain
  • Rash
  • Enlarged liver and spleen

These symptoms can last for several days to a week, followed by a period of improvement. However, the fever and other symptoms may return after a few days or weeks, leading to a relapse.

Causes of Relapsing Fever

Relapsing fever is caused by the bacteria Borrelia recurrentis and Borrelia hermsii. These bacteria are typically found in rodents and are transmitted to humans through the bite of infected ticks or lice. When an infected tick or louse bites a human, the bacteria enter the bloodstream and multiply, leading to the symptoms of relapsing fever.

Diagnosis of Relapsing Fever

Diagnosing relapsing fever can be challenging, as the symptoms are similar to those of other infectious diseases. However, if a patient presents with a high fever and a history of exposure to ticks or lice, relapsing fever should be considered as a possible diagnosis.

A blood test can be performed to detect the presence of the bacteria in the bloodstream. This test can also help determine the specific type of bacteria causing the infection. In some cases, a sample of cerebrospinal fluid may be taken to check for the presence of the bacteria in the central nervous system.

Treatment of Relapsing Fever

Relapsing fever can be treated with antibiotics. The specific antibiotic and duration of treatment will depend on the type of bacteria causing the infection. Commonly used antibiotics include doxycycline, tetracycline, and penicillin.

In addition to antibiotics, supportive care is also important in managing the symptoms of relapsing fever. This may include rest, fluids, and over-the-counter pain relievers to reduce fever and relieve muscle and joint pain.

Prevention of Relapsing Fever

Preventing relapsing fever involves avoiding exposure to ticks and lice. This can be achieved by:

  • Wearing protective clothing, such as long sleeves and pants, when in areas with a high risk of tick or lice infestation
  • Using insect repellents that are effective against ticks and lice
  • Checking for ticks or lice on the body after spending time outdoors
  • Removing ticks or lice promptly and properly
  • Keeping living areas clean and free of rodents

It is important to note that relapsing fever can be a serious illness if left untreated. If you suspect you may have been exposed to ticks or lice and are experiencing symptoms such as high fever, it is important to seek medical attention promptly.

In Conclusion

Relapsing fever is a bacterial infection that is characterized by recurring episodes of high fever, chills, sweats, headache, muscle aches, joint pain, nausea, vomiting, abdominal pain, rash, and enlarged liver and spleen. It is caused by the bacteria Borrelia recurrentis and Borrelia hermsii, which are transmitted to humans through the bite of infected ticks or lice. Diagnosis is based on symptoms and confirmed through blood tests. Treatment involves antibiotics and supportive care. Prevention includes avoiding exposure to ticks and lice. If you suspect you may have relapsing fever, seek medical attention promptly to prevent complications.

Haroon Rashid, MD
Rate author
Urgent Care Center of Arlington, VA
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