Cave Fever in the United States and Israel

In 2017, several cases of relapsing fever in Texas were reported among cave workers.  The Israeli equivalent of the disease is in fact known as “cave fever” with most cases reported among tourists in caves. [1,2]  Notably, an American tourist acquired “cave fever” in Israel in 1988.  The regional pathogen, Borrelia persica is found in approximately ten percent of caves, and is transmitted by Ornithodorus tholozani, an argassid (“soft”) tick.  The annual incidence has remained fairly stable at 5 to 15 cases for the past five decades. References: Berger S. Infectious Diseases of Israel, 2018. 470 pages, 236 graphs, 1,480 references. Gideon e-books,  https://www.gideononline.com/ebooks/country/infectious-diseases-of-israel/ Berger S. Relapsing Fever: Global Status, 2018. 85 pages, 71 graphs, 473 references. Gideon e-books,  https://www.gideononline.com/ebooks/disease/relapsing-fever-global-status/ The post Cave Fever in the United States and Israel appeared first on GIDEON - Global Infectious Diseases and Epidemiology Online Network.
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