La Revue de médecine interne
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Tick-borne relapsing fever is a usual cause of fever in West Africa. Except relapsing febrile episodes, there are no pathognomonic signs and diagnosis is difficult because Borrelia density in patient's blood is low. ⋯ This diagnosis should be evocated in patients having fever after a trip in infested area, as malaria, both infections can be associated.