The prevention and treatment of tick-borne relapsing fever with special reference to aureomycin and terramycin.
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Since about thirty years, no relapsing fever due to Borrelia duttoni is recorded from Madagascar. A survey was conducted in the formerly endemic area, between Soalala and Majunga, in order to collect data on possible cases and to look if the vector, Ornithodoros moubata is still present. No mention of the disease was recorded; all Ornithodoros seem to have completely disappeared in the area, without any clear reason. However, a few O. moubata specimens were recorded from piggeries in Mahasolo, 150 km west of Tananarive, outside the endemic area.
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Sportsmen, backpackers, and outdoor workers may present with unusual infections acquired in the fields and forests of the United States. Infections to be considered in such persons with a febrile illness include Rocky Mountain spotted fever, Colorado spotted tick fever, babesiosis, borreliosis, and Lyme disease. The differential diagnoses for clinical presentations of pulmonary and gastrointestinal disease are also discussed.
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