A 13-year old girl with pancytopenia at the presentation of a Borrelia hispanica infection: a case report and review of the literature.

Background: It is not uncommon that a child with a febrile illness of unknown etiology is admitted to the hospital. When the complete blood count reveals a pancytopenia, the diagnostic process can be a real challenge.

Case Presentation: A 13-year girl of Arab-Berber descent presented with abdominal pain and fever after a holiday in northwestern Morocco.