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class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Unidad de Gestión Clínica de Medicina Interna, Hospital Regional Universitario de Málaga, Málaga, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Unidad de Gestión Clínica de Hematología, Hospital Regional Universitario de Málaga, Málaga, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "<span class="elsevierStyleItalic">Borrelia hispanica</span> como causa de fiebre recurrente" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 938 "Ancho" => 1250 "Tamanyo" => 121428 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 17-year-old male with no history of interest who consulted for a 3-week history of recurrent febrile episodes which were controlled with antipyretics, general ill health, abdominal discomfort, and papular lesions on the extremities that developed scabs due to scratching. His epidemiological background stated that he had been in contact with wild animals. His analysis highlighted microcytic hypochromic anaemia, thrombocytopenia, prolonged prothrombin time, factor VII deficiency and elevated of acute phase reactants. A peripheral blood smear was performed which showed fibrillar elements 10–14<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>0.2<span class="elsevierStyleHsp" style=""></span>μm in length and with a spiral shaped morphology compatible with spirochetes (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 1</a>). A serology was performed for syphilis and <span class="elsevierStyleItalic">leptospirosis</span> negative, IgM and IgG positive for <span class="elsevierStyleItalic">Borrelia burgdorferi</span>. The sample was sent to the Carlos III Health Institute, with a positive PCR for <span class="elsevierStyleItalic">Borrelia hispanica</span>. He was treated with intravenous doxycycline and ceftriaxone, with a normalisation of the analysis and clinical symptoms. <span class="elsevierStyleItalic">Borrelia hispanica</span> is a gram-negative spirochete transmitted by soft ticks (<span class="elsevierStyleItalic">Ornithodoros</span> spp, frequently <span class="elsevierStyleItalic">O. erraticus</span>). It occurs with an episode of fever and a flu-like syndrome about 4 to 14 days after the bite, with recurrent fever plus dormant episodes. It is still present in Morocco and the Iberian Peninsula, so we must include this entity in the differential diagnosis of the recurrent fever.</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Pineda Cantero A, Pérez de Pedro I, Martín Téllez S, Costo Muriel C, Caballero Martínez LF, Gómez Huelgas R. <span class="elsevierStyleItalic">Borrelia hispanica</span> como causa de fiebre recurrente. 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Journal Information
Vol. 154. Issue 9.
Pages 380 (May 2020)
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Vol. 154. Issue 9.
Pages 380 (May 2020)
Image in medicine
Borrelia hispanica as a cause of recurrent fever
Borrelia hispanica como causa de fiebre recurrente
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