0
Article |

Neonatal Relapsing Fever in Rwanda

PHILIPPE LEPAGE, MD; MELANIE NTAHORUTABA, MD; JOS BOGAERTS, MD
Am J Dis Child. 1986;140(2):89. doi:10.1001/archpedi.1986.02140160007003.
Text Size: A A A
Published online

Sir.—We read with interest the article by Yagupsky and Moses1 on neonatal relapsing fever. We describe our experience with one case of neonatal Borrelia species infection in a Rwandese newborn and his favorable outcome under antimicrobial therapy.

Patient Report.—A 15-day-old male infant, weighing 2.900 kg, was hospitalized in the Centre Hospitalier de Kigali, Rwanda, for fever, jaundice, and purpura of two days' duration. On physical examination, the child was febrile (temperature, 38.5 °C), icteric, and floppy. His liver and spleen were palpable 3 cm below the costal margin. Purpura was observed on the abdomen and four limbs. His blood cell count was as follows: hemoglobin level, 11.7 g/dL; white blood cells, 17,100/cu mm; segmented neutrophils, 35%; lymphocytes, 52%; and monocytes, 13%. The serum glutamic-oxaloacetic transaminase level was 870 IU/L; the serum glutamic-pyruvic transaminase level was 690 IU/L. Cerebrospinal fluid was slightly hemorrhagic but otherwise normal. Blood culture

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();