Jarisch Herxheimer Reaction, Relapsing Fever, Tick-borne
Conditions
Brief summary
Abstract Background Tick-Borne Relapsing Fever (TBRF) is an acute febrile illness. In Israel, TBRF is caused by Borrelia persica and is transmitted by Ornithodoros tholozani ticks. We examined the safety and efficacy of a post exposure treatment policy to prevent TBRF. Methods In a double blind, placebo controlled trial 93 healthy volunteers with suspected tick exposure (51 with bite signs and 42 contacts) were randomly assigned to receive either Doxycycline (200 mg for the first day and 100mg/d for 4 days) or placebo, approximately 2 days after contact. Blood smears were examined for Borrelia at inclusion and during fever rise. Serology for Lyme disease cross- reactivity and PCR for Borrelia GlpQ gene were also performed. Cases of TBRF were defined as subjects having fever and a positive blood smear.
Interventions
Sponsors
Medical Corps, Israel Defense Force
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Masking
DOUBLE
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* suspected exposure to tick-borne relapsing fever * after returning from field exercise in a tick-borne relapsing fever infected area * having a tick bite or staying in field in close proximity to a subject with tick bite sign
Exclusion criteria
* known sensitivity to tetracycline or doxycycline * febrile illness on recruitment
Countries
Israel
Outcome results
None listed