• APMIS · Jan 2017

    Case Reports

    Louse-borne relapsing fever in Finland in two asylum seekers from Somalia.

    • Jukka Hytönen, Tamim Khawaja, Juha O Grönroos, Anna Jalava, Seppo Meri, and Jarmo Oksi.
    • Department of Medical Microbiology and Immunology, University of Turku, Turku, Finland.
    • APMIS. 2017 Jan 1; 125 (1): 59-62.

    AbstractWe report two cases of louse-borne relapsing fever (LBRF) in young Somali asylum seekers having recently arrived to Finland. They had sought medical attention for a febrile illness. Blood smears were examined for suspected malaria, but instead, spirochete shaped bacteria were observed. The bacteria were confirmed as Borrelia recurrentis by PCR and sequencing. The patients survived, but their treatment was complicated by Jarisch-Herxheimer reaction. We conclude that LBRF must be considered as a diagnostic option in febrile refugees also in the northernmost parts of Europe.© 2016 APMIS. Published by John Wiley & Sons Ltd.

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