Volume 18, Number 4—April 2012
Letter
Meningoencephalitis Complicating Relapsing Fever in Traveler Returning from Senegal
Emmanuel Bottieau
, Elric Verbruggen, Camille Aubry, Cristina Socolovschi, and Erika Vlieghe
, Elric Verbruggen, Camille Aubry, Cristina Socolovschi, and Erika VliegheTable
Test results for 26-year-old woman who returned to Belgium from Senegal with meningoencephalitis complicating relapsing fever*
| Characteristic | Date and test result |
|
|---|---|---|
| 2010 Dec 21 | 2011 Jan 25 | |
| Borrelia DNA in serum | + for 16S rRNA and ITS4 genes | – |
| Borrelia DNA in CSF | + (100% similarity to B. crocidurae flaB gene; GenBank accession no. GU357619) | |
| B. crocidurae IgM titer | 25 | 0 |
| B. crocidurae IgG titer | 400 | 400 |
| B. dutonii IgM titer | 0 | 0 |
| B. dutonii IgG titer | 200 | 200 |
| B. recurrentis | – | – |
| B. burgdorferi | – | – |
*+, positive; ITS, internal transcribed spacer; –, negative; CSF, cerebrospinal fluid; fla, flagellin.
