treatment doxycycline 100mg po bid x 7-10 days #borrelia #hermsii #TBRF

#borrelia #hermsii transmitted via bite of #Ornithodoros #ticks. These ticks typically feed <30min at night.
Rodents are vertebrate reservoirs & cabins located at elevations 2k-7k feet in coniferous forests are sites.

Occasionally a macular rash or scattered petechiae may be present on trunk & extremities. Less frequently, jaundice, hepatosplenomegaly, meningismus, and photophobia. #borrelia #hermsii #TBRF ref Mandall

#borrelia #hermsii vector: tick, reservoir: rodents
-In USA: spirochete in bloodstream: agents of tick borne relapsing fever #TBRF including #borrelia #hermsii
-Spirochetes: genera Spirochaeta, Treponema, Borrelia, Leptospira
-Other regions Borrelia recurrentis louse-borne relapsing F