چكيده لاتين :
Tick-borne relapsing fever is an endemic disease in some parts
of Iran. Borellia persica, the most common cause of this disease
in Iran, has a wide geographic distribution and is present
in Alborz and Zagros mountain chains.
Here we report a l6-year-old male patient who presented
with two episodes of fever within 15 days. He had a history of
few overnight stays in a cave of mountainous area in Fars
province. Sites of tick bites were found on exposed areas of
extremities. Spirochetes were detected in Wright-stained
smears of the patientיs peripheral blood. He was successfully
treated with penicillin. To the best of our knowledge, there has
been no reported case of tick-borne relapsing fever from Fars
province in the literature during the last 28 years.
Tick-borne relapsing fever should be considered in patients
with recurrent fever and peripheral blood smear should be investigated
for spirochetes. Further seroepidemiologic studies
should be carried out to determine the prevalence of this disease
in Fars province.
