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Volume 18, Number 4—April 2012

Letter

Meningoencephalitis Complicating Relapsing Fever in Traveler Returning from Senegal

Emmanuel BottieauComments to Author , Elric Verbruggen, Camille Aubry, Cristina Socolovschi, and Erika Vlieghe
Author affiliations: Institute of Tropical Medicine, Antwerp, Belgium (E. Bottieau, E. Vlieghe); University Hospital of Antwerp, Antwerp (E. Verbruggen, E. Vlieghe); Université de la Méditerranée, Marseilles, France (C. Aubry, C. Socolovschi)

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Table

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.

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