Relapsing Fever Infection Manifesting as Aseptic Meningitis, Texas, USA

Abstract

Tickborne relapsing fever spirochetes are an overlooked cause of disease around the globe. We report a case of tickborne relapsing fever in a patient in Texas, USA, who had a single febrile episode and gastrointestinal and neurologic symptoms. Immunoblot analysis using recombinant Borrelia immunogenic protein A implicated Borrelia turicatae as the causative agent.

Keywords

• aseptic meningitis
• spirochetes
• neuroborreliosis
• Borrelia turicatae
• relapsing fever
• tickborne