Subject(s)
Confidentiality/legislation & jurisprudence , Inpatients , Patient Advocacy/legislation & jurisprudence , Patient Education as Topic , Adult , Aged , Aged, 80 and over , Female , Humans , Inpatients/education , Knowledge , Male , Middle Aged , Patient Advocacy/education , Surveys and Questionnaires , TrustABSTRACT
We report the first confirmed case of tick-borne borreliosis by molecular tools in a French traveler returning from Ethiopia with unusual presentation: the presence of cutaneous eschar after a hard tick-bite suggesting firstly to clinicians a diagnosis of tick-borne rickettsiosis.
Subject(s)
Borrelia burgdorferi , Relapsing Fever/diagnosis , Aged , Borrelia burgdorferi/genetics , Borrelia burgdorferi/isolation & purification , Diagnosis, Differential , Ethiopia , Female , France , Humans , Radiculopathy/etiology , Relapsing Fever/complications , Relapsing Fever/microbiology , Skin/pathology , TravelABSTRACT
Mild to moderate asymptomatic pericardial effusions are commonly detected in patients with biopsy-proven sarcoidosis. However, symptomatic pericarditis is rare during the course of the disease. All reported cases at presentation were life-threatening tamponades. We describe the first case of a patient in whom sarcoidosis was revealed by an acute benign pericarditis persisting despite administration of colchicine and non-steroidal anti-inflammatory drugs. Similar cases may have been ignored since the initial diagnosis of sarcoidosis is challenging and corticosteroids are frequently given to patients with persistent chest pain. Clinicians should consider the possibility of sarcoidosis in case of pericarditis resistant to first-line therapy.
