Discover and read the best of Twitter Threads about #lbrf

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#idboardreview 25 M 1 wk post vacation in california mountain cabin: febrile x3d then felt better for 7d and now having fevers again, chills, myalgia, dyspnea progressed to ARDS. wbc3k, Hb11, plt20k, peripheral smear shown. Dx? vector? reservior? #idmeded #IDTwitter Image
#borrelia #hermsii vector: tick, reservoir: rodents
-In USA: spirochete in bloodstream: agents of tick borne relapsing fever #TBRF including B. hermsii
-Spirochetes: genera Spirochaeta, Treponema, Borrelia, Leptospira
-Other regions Borrelia recurrentis louse-borne relapsing F
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