John Libbey Eurotext

Annales de Biologie Clinique


It is not always malaria: diagnosis of Borrelia recurrent fever on blood smear Volume 76, numéro 1, Janvier 2018


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1 Service d’hématologie biologique, CHU Amiens-Picardie, Amiens, France
2 Laboratoire de biologie médicale, CH Abbeville, Abbeville, France
3 Service de bactériologie, CHU Amiens-Picardie, Amiens, France

A 44 years old man presented at the emergency ward with vomiting and diarrhea, seven days after he had returned from a one month trip to Senegal. The patient reported asthenia, headache, fever and chills, with no effect of paracetamol and he admitted nonadherence to the malaria chemoprophylaxis. Moreover, he reported tick bites. At clinical examination, the patient had 38.6̊C. Laboratory test revealed hyponatremia (129 mmol/L), increased CRP (89 mg/L) and GGT (89 U/L). Complete blood count showed [...]