Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2005-5-11
pubmed:abstractText
The aim of the study was to chart incidence and clinical features of tick-borne relapsing fever in Tanzania. Consecutive patients with fever and spirochetes demonstrated in a thick blood smear at Haydom Lutheran Hospital from 1 January to 31 December 2003 underwent clinical and cerebrospinal fluid (CSF) examination. Forty-four patients were included, making an estimated minimum annual incidence of 11 per 100 000 population in this region. The mortality rate was 2.3% (95% CI = 0-12). The most frequent complaints were generalized malaise (93%), headache (86%), nausea and vomiting (52%). None of the patients [0% (95% CI = 0-8)] had focal neurological symptoms. Cell count in CSF was normal in 22 and slightly elevated (6-12 leukocytes/mm(3)) in 20 patients. Two of three pregnancies had a poor outcome. Jarisch-Herxheimer reactions, bleeding complications and ocular manifestations were infrequent. In conclusion, tick-borne relapsing fever is a common disease in the Northern highland of Tanzania, but in contrast to other parts of the world, neurological involvement is uncommon in this area.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
1351-5101
pubmed:author
pubmed:issnType
Print
pubmed:volume
12
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
449-52
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:15885049-Adolescent, pubmed-meshheading:15885049-Adult, pubmed-meshheading:15885049-Borrelia Infections, pubmed-meshheading:15885049-Child, pubmed-meshheading:15885049-Child, Preschool, pubmed-meshheading:15885049-Confidence Intervals, pubmed-meshheading:15885049-Demography, pubmed-meshheading:15885049-Female, pubmed-meshheading:15885049-Headache, pubmed-meshheading:15885049-Hemorrhage, pubmed-meshheading:15885049-Humans, pubmed-meshheading:15885049-Infant, pubmed-meshheading:15885049-Male, pubmed-meshheading:15885049-Middle Aged, pubmed-meshheading:15885049-Nausea, pubmed-meshheading:15885049-Nervous System Diseases, pubmed-meshheading:15885049-Relapsing Fever, pubmed-meshheading:15885049-Retrospective Studies, pubmed-meshheading:15885049-Survival Rate, pubmed-meshheading:15885049-Tanzania
pubmed:year
2005
pubmed:articleTitle
Absence of focal neurological involvement in tick-borne relapsing fever in northern Tanzania.
pubmed:affiliation
Haydom Lutheran Hospital, Haydom, p.o. Mbulu, Tanzania.
pubmed:publicationType
Journal Article, Comparative Study