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Euro Surveill ; 20(42)2015.
Article in English | MEDLINE | ID: mdl-26538532

ABSTRACT

We report 15 imported louse-borne relapsing fever (LBRF) cases in refugees in Bavaria, Germany. One patient died. Epidemiological findings confirmed that all were young males from the Horn of Africa (12 from Somalia), who had similar migration routes converging in Sudan continuing through Libya and Italy. The majority likely acquired their infection during migration. Healthcare workers should be aware of LBRF in refugees passing through north Africa to ensure correct treatment and preventive measures.


Subject(s)
Borrelia/isolation & purification , Communicable Disease Control , Lice Infestations/diagnosis , Refugees , Relapsing Fever/diagnosis , Relapsing Fever/epidemiology , Adolescent , Adult , Borrelia/genetics , DNA, Bacterial/genetics , DNA, Bacterial/isolation & purification , Doxycycline/administration & dosage , Eritrea/ethnology , Ethiopia/ethnology , Germany/epidemiology , Humans , Lice Infestations/drug therapy , Male , Relapsing Fever/blood , Relapsing Fever/drug therapy , Somalia/ethnology , Travel , Treatment Outcome , Young Adult
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