April 25, 2022 Case of the Week

Young refugee with fever, severe headache and abdominal pain

Thin smear - 

What are the findings?

Case courtesy of Dr. Keiser

Answer: Many spirochetes identified as Borrelia recurrentis: a case of louse-borne relapsing fever. Consider other infectious agents in addition to Plasmodium spp. when creening blood smears.