Document Detail

Acute respiratory distress syndrome in persons with tickborne relapsing fever--three states, 2004-2005.
MedLine Citation:
PMID:  17947965     Owner:  NLM     Status:  MEDLINE    
Tickborne relapsing fever (TBRF) is a bacterial illness caused by certain species of Borrelia and transmitted through brief and painless bites from Ornithodoros ticks. Illness usually is characterized by intermittent periods of fever, fatigue, and muscle aches. In April 2005, CDC received reports of two cases of severe TBRF associated with acute respiratory distress syndrome (ARDS) in residents of California and Nevada. After a report describing these cases was posted on CDC's Epidemic Information Exchange (Epi-X), health officials in Washington reported a third severe case associated with ARDS. This report summarizes these three cases and the results of the subsequent epidemiologic investigations. The findings indicate that ARDS might occur more frequently in patients with TBRF than previously recognized. Optimal management of TBRF requires both prompt diagnosis and careful observation during the initial phases of treatment.
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  MMWR. Morbidity and mortality weekly report     Volume:  56     ISSN:  1545-861X     ISO Abbreviation:  MMWR Morb. Mortal. Wkly. Rep.     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-10-19     Completed Date:  2007-10-22     Revised Date:  2008-02-14    
Medline Journal Info:
Nlm Unique ID:  7802429     Medline TA:  MMWR Morb Mortal Wkly Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1073-6     Citation Subset:  IM    
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MeSH Terms
California / epidemiology
Middle Aged
Nevada / epidemiology
Relapsing Fever / complications*,  epidemiology*
Respiratory Distress Syndrome, Adult / epidemiology,  etiology*
Washington / epidemiology

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