PMID: 9660457Jul 11, 1998Paper

An interstate outbreak of tick-borne relapsing fever among vacationers at a Rocky Mountain cabin

The American Journal of Tropical Medicine and Hygiene
R T TrevejoGrant L Campbell

Abstract

In July 1995, an outbreak of acute febrile illness affected 11 (48%) of 23 family members from Nebraska and Kansas who had vacationed at a Colorado cabin in June. Similar symptoms were identified among five (17%) of 30 additional persons from Nebraska, Kansas, Florida, and Texas who had vacationed at the same cabin. Symptoms suggested tick-borne relapsing fever (TBRF). Although no spirochetes were detected in available blood smears from five case-patients, Borrelia hermsii was cultured from the blood of one case-patient and two chipmunks trapped near the cabin. Case-patients were more likely than non-ill cabin visitors to have slept on the floor (odds ratio [OR] = 28.0, 95% confidence interval [CI] = 3.0-258) or in the top bunk bed (OR = 5.2, 95% CI = 1.1-25.1). Tick-borne relapsing fever should considered in the differential diagnosis of fever in patients who have stayed overnight in mountain cabins in the western United States.

Citations

Oct 2, 2003·Emerging Infectious Diseases·Tom G SchwanJames E Keirans
Mar 16, 2013·Vector Borne and Zoonotic Diseases·Curtis L FritzTom G Schwan
Jun 27, 2018·Veterinary Medicine and Science·Nusirat Elelu
Feb 26, 2016·PLoS Neglected Tropical Diseases·Tammi L JohnsonEmily F Stone
Nov 19, 2008·PLoS Neglected Tropical Diseases·Philippe ParolaDidier Raoult
Jul 28, 2012·Vector Borne and Zoonotic Diseases·Jennifer AdjemianDavid Wong
Jan 28, 2015·Emerging Infectious Diseases·Joshua ChristensenTom G Schwan
Oct 4, 2014·Journal of Medical Entomology·Nathan C Nieto, Mike B Teglas
Jun 4, 2019·Zoonoses and Public Health·Stefanie B CampbellAlison Hinckley
Jun 8, 2007·Emerging Infectious Diseases·Tom G SchwanStephen F Porcella
Jul 17, 2003·Pediatric Case Reviews·Cynthia J Mollen, Louis M Bell
Sep 13, 2006·FEMS Immunology and Medical Microbiology·Stanislas Rebaudet, Philippe Parola
May 30, 2012·Zoonoses and Public Health·M ThompsonA Schulte-Hostedde
Apr 20, 2018·Frontiers in Cellular and Infection Microbiology·Emilie Talagrand-ReboulNathalie Boulanger

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