Abstract
Tickborne relapsing fever in southern Iran, 2011-2013.
Highlights
Leprosy treatment is determined according to disease severity
Cases of Tickborne relapsing fever (TBRF) occurring in southern Iran have presumably been caused by B. microti because its tick vector, O. erraticus, predominates in this region
A neighbor-joining phylogenetic tree was constructed by using MEGA6; the 2 intergenic spacer (IGS) sequences clustered into a distinct group separate from B. microti, B. duttonii, and B. recurrentis genotypes (Figure)
Summary
Leprosy treatment is determined according to disease severity. The Ridley-Jopling system assesses lesion quantity, neurologic involvement, and bacterial load, and the current World Health Organization system simplifies this system to facilitate clinical classification, defining paucibacillary leprosy as 6 lesions [6]. Because transmission by prolonged close contact is more common than by casual contact, it is likely that the infection in this patient may have been acquired during childhood in a disease-endemic area, which represents the upper limit of incubation time. Division of Infectious Diseases, Naval Medical Center San Diego, Bldg 1, 2nd Deck, 34800 Bob Wilson Dr, San Diego, CA 92134, USA; email: catherine.berjohn@med.navy.mil Tickborne Relapsing Fever in Southern Iran, 2011–2013
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