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1.
Parola P, Raoult D, 2001. Ticks and tickborne bacterial diseases in humans: an emerging infectious threat. Clin Infect Dis 32: 897–928.
-
2.
Takano A, Fujita H, Kadosaka T, Konnai S, Tajima T, Watanabe H, Ohnishi M, Kawabata H, 2011. Characterization of reptile-associated Borrelia sp. in the vector tick, Amblyomma geoemydae, and its association with Lyme disease and relapsing fever Borrelia spp. Environ Microbiol Rep 3: 632–637.
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3.
Halperin T, Orr N, Cohen R, Hasin T, Davidovitch N, Klement E, Kayouf R, Baneth G, Cohen D, Yavzori M, 2006. Detection of relapsing fever in human blood samples from Israel using PCR targeting the glycerophosphodiester phosphodiesterase (GlpQ) gene. Acta Trop 98: 189–195.
-
4.
de Pierpont E, Goubau P, Verhaegen J, Vandepitte J, 1983. Single dose minocycline and doxycycline treatment of tick-borne relapsing fever. A double-blind clinical trial in Rwanda. Ann Soc Belg Med Trop 63: 357–361.
-
5.
Goubau PF, 1984. Relapsing fevers. A review. Ann Soc Belg Med Trop 64: 335–364.
-
6.
Assous MV, Wilamowski A, 2009. Relapsing fever borreliosis in Eurasia–forgotten, but certainly not gone! Clin Microbiol Infect 15: 407–414.
-
7.
Colin de Verdiere N, Hamane S, Assous MV, Sertour N, Ferquel E, Cornet M, 2011. Tickborne relapsing fever caused by Borrelia persica, Uzbekistan and Tajikistan. Emerg Infect Dis 17: 1325–1327.
-
8.
Twisselmann B, 2000. Imported cases of relapsing fever in Germany. Euro Surveill 4: 1468. Available at: http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=1468. Accessed July 3, 2013.
-
9.
Wyplosz B, Mihaila-Amrouche L, Baixench MT, Bigel ML, Berardi-Grassias L, Fontaine C, Hornstein M, Izri A, Baranton G, Postic D, 2005. Imported tickborne relapsing fever, France. Emerg Infect Dis 11: 1801–1803.
-
10.
van Dam AP, van Gool T, Wetsteyn JC, Dankert J, 1999. Tick-borne relapsing fever imported from West Africa: diagnosis by quantitative buffy coat analysis and in vitro culture of Borrelia crocidurae. J Clin Microbiol 37: 2027–2030.
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11.
Bottieau E, Verbruggen E, Aubry C, Socolovschi C, Vlieghe E, 2012. Meningoencephalitis complicating relapsing fever in traveler returning from Senegal. Emerg Infect Dis 18: 697–698.
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The First Case of Imported Relapsing Fever in Japan
Satoshi Kutsuna
Satoshi Kutsuna
National Center for Global Health and Medicine, Disease Control and Prevention Center, Shinjuku-ku, Tokyo, Japan; National Institute of Infectious Diseases, Bacteriology, Shinjuku-ku, Tokyo, Japan; Nara Medical University, Center for Infectious Diseases, Nara City, Nara, Japan; Yamaguchi University, Joint Faculty of Veterinary Medicine, Yamaguchi-City, Yamaguchi, Japan
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Hiroki Kawabata
Hiroki Kawabata
National Center for Global Health and Medicine, Disease Control and Prevention Center, Shinjuku-ku, Tokyo, Japan; National Institute of Infectious Diseases, Bacteriology, Shinjuku-ku, Tokyo, Japan; Nara Medical University, Center for Infectious Diseases, Nara City, Nara, Japan; Yamaguchi University, Joint Faculty of Veterinary Medicine, Yamaguchi-City, Yamaguchi, Japan
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Kei Kasahara
Kei Kasahara
National Center for Global Health and Medicine, Disease Control and Prevention Center, Shinjuku-ku, Tokyo, Japan; National Institute of Infectious Diseases, Bacteriology, Shinjuku-ku, Tokyo, Japan; Nara Medical University, Center for Infectious Diseases, Nara City, Nara, Japan; Yamaguchi University, Joint Faculty of Veterinary Medicine, Yamaguchi-City, Yamaguchi, Japan
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Ai Takano
Ai Takano
National Center for Global Health and Medicine, Disease Control and Prevention Center, Shinjuku-ku, Tokyo, Japan; National Institute of Infectious Diseases, Bacteriology, Shinjuku-ku, Tokyo, Japan; Nara Medical University, Center for Infectious Diseases, Nara City, Nara, Japan; Yamaguchi University, Joint Faculty of Veterinary Medicine, Yamaguchi-City, Yamaguchi, Japan
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Keiichi Mikasa
Keiichi Mikasa
National Center for Global Health and Medicine, Disease Control and Prevention Center, Shinjuku-ku, Tokyo, Japan; National Institute of Infectious Diseases, Bacteriology, Shinjuku-ku, Tokyo, Japan; Nara Medical University, Center for Infectious Diseases, Nara City, Nara, Japan; Yamaguchi University, Joint Faculty of Veterinary Medicine, Yamaguchi-City, Yamaguchi, Japan
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Tick-borne relapsing fever (TBRF) is endemic in discrete areas throughout the world; however, a domestic or imported case of relapsing fever has not been reported in Japan. Here, we report the first imported case. A previously healthy 20-year-old woman presented to our hospital on October 8, 2010, because of recurrent fever and lower leg pain. Before consultation, she had experienced four febrile episodes at 10–12-day intervals after returning from her stay in Uzbekistan from 1 to 8 September. Giemsa stain of peripheral blood showed Borrelia spirochetes. The spirochete was identified as Borrelia persica by sequencing of the amplicons of flaB using polymerase chain reaction and phylogenetic analysis. The patient was diagnosed with TBRF, and she completed a 10-day course of minocycline 100 mg twice daily. After treatment, her periodic fever subsided. Physicians should be aware of TBRF in patients with recurrent fever who have returned from TBRF-endemic countries, including areas of the former USSR.
Author Notes
Authors' addresses: Satoshi Kutsuna, Disease Control and Prevention Center, National Center for Global Health and Medicine, Shinjuku-ku, Tokyo, Japan, E-mail: linezolid@mac.com. Hiroki Kawabata, Bacteriology, National Institute of Infectious Diseases, Shinjuku-ku, Tokyo, Japan, E-mail: kbata@nih.go.jp. Kei Kasahara and Keiichi Mikasa, Centers for Infectious Diseases, Nara Medical University, Nara City, Nara, Japan, E-mails: fwhz5880@nifty.com and mikasak1@naramed-u.ac.jp. Ai Takano, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi-City, Yamaguchi, Japan, E-mail: a-takano@yamaguchi-u.ac.jp.
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
Parola P, Raoult D, 2001. Ticks and tickborne bacterial diseases in humans: an emerging infectious threat. Clin Infect Dis 32: 897–928.
-
2.
Takano A, Fujita H, Kadosaka T, Konnai S, Tajima T, Watanabe H, Ohnishi M, Kawabata H, 2011. Characterization of reptile-associated Borrelia sp. in the vector tick, Amblyomma geoemydae, and its association with Lyme disease and relapsing fever Borrelia spp. Environ Microbiol Rep 3: 632–637.
-
3.
Halperin T, Orr N, Cohen R, Hasin T, Davidovitch N, Klement E, Kayouf R, Baneth G, Cohen D, Yavzori M, 2006. Detection of relapsing fever in human blood samples from Israel using PCR targeting the glycerophosphodiester phosphodiesterase (GlpQ) gene. Acta Trop 98: 189–195.
-
4.
de Pierpont E, Goubau P, Verhaegen J, Vandepitte J, 1983. Single dose minocycline and doxycycline treatment of tick-borne relapsing fever. A double-blind clinical trial in Rwanda. Ann Soc Belg Med Trop 63: 357–361.
-
5.
Goubau PF, 1984. Relapsing fevers. A review. Ann Soc Belg Med Trop 64: 335–364.
-
6.
Assous MV, Wilamowski A, 2009. Relapsing fever borreliosis in Eurasia–forgotten, but certainly not gone! Clin Microbiol Infect 15: 407–414.
-
7.
Colin de Verdiere N, Hamane S, Assous MV, Sertour N, Ferquel E, Cornet M, 2011. Tickborne relapsing fever caused by Borrelia persica, Uzbekistan and Tajikistan. Emerg Infect Dis 17: 1325–1327.
-
8.
Twisselmann B, 2000. Imported cases of relapsing fever in Germany. Euro Surveill 4: 1468. Available at: http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=1468. Accessed July 3, 2013.
-
9.
Wyplosz B, Mihaila-Amrouche L, Baixench MT, Bigel ML, Berardi-Grassias L, Fontaine C, Hornstein M, Izri A, Baranton G, Postic D, 2005. Imported tickborne relapsing fever, France. Emerg Infect Dis 11: 1801–1803.
-
10.
van Dam AP, van Gool T, Wetsteyn JC, Dankert J, 1999. Tick-borne relapsing fever imported from West Africa: diagnosis by quantitative buffy coat analysis and in vitro culture of Borrelia crocidurae. J Clin Microbiol 37: 2027–2030.
-
11.
Bottieau E, Verbruggen E, Aubry C, Socolovschi C, Vlieghe E, 2012. Meningoencephalitis complicating relapsing fever in traveler returning from Senegal. Emerg Infect Dis 18: 697–698.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 44 | 44 | 2 |
| Full Text Views | 339 | 105 | 1 |
| PDF Downloads | 112 | 29 | 1 |